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cs-1.2.276.0.76.3.1.195.5.102-2023-11-20T000000.fhir40.xml

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<CodeSystem>
  <id value="aktin-cs-mts-indicators"/>
  <meta>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
    <!--<profile value="http://hl7.org/fhir/4.0/StructureDefinition/CodeSystem"/>-->
  </meta>
  <language value="de-DE"/>
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2023-11-20T00:00:00+02:00"/>
    </valuePeriod>
  </extension>
  <url value="http://aktin.org/fhir/CodeSystem/aktin-cs-mts-indicators"/>
  <identifier>
    <use value="official"/>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.2.276.0.76.3.1.195.5.102"/>
  </identifier>
  <version value="2023-11-20T00:00:00"/>
  <name value="Mts_indicators"/>
  <title value="MTS-Indikatoren"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2024-07-22T16:52:09+02:00"/>
  <publisher value="AKTIN e. V."/>
  <contact>
    <name value="AKTIN e. V."/>
    <telecom>
      <system value="phone"/>
      <value value="Tel. +49 391 67 28186"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="office@aktin.org"/>
    </telecom>
  </contact>
  <description value="MTS-Indikatoren"/>
  <caseSensitive value="false"/>
  <content value="complete"/>
  <count value="194"/>
  <property>
    <code value="status"/>
    <uri value="http://hl7.org/fhir/concept-properties#status"/>
    <description value="A code that indicates the status of the concept. Values found in this version of the code system are: active"/>
    <type value="code"/>
  </property>
  <property>
    <code value="effectiveDate"/>
    <uri value="http://hl7.org/fhir/concept-properties#effectiveDate"/>
    <description value="The date at which the concept was status was last changed. This is calculated based on the highest of 'creation date', 'expiration date', and 'official release date'"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="parent"/>
    <uri value="http://hl7.org/fhir/concept-properties#parent"/>
    <description value="The concept identified in this property is a parent of the concept on which it is a property. The property type will be 'code'. The meaning of 'parent' is defined by the hierarchyMeaning attribute"/>
    <type value="code"/>
  </property>
  <property>
    <code value="child"/>
    <uri value="http://hl7.org/fhir/concept-properties#child"/>
    <description value="The concept identified in this property is a child of the concept on which it is a property. The property type will be 'code'. The meaning of 'child' is defined by the hierarchyMeaning attribute"/>
    <type value="code"/>
  </property>
  <concept>
    <code value="red"/>
    <display value="rote Indikatoren"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="rote Indikatoren"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="red indicators"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="A"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="B"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="C"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="5"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="11"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="17"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="75"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="113"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="117"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="118"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="130"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="136"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="153"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="157"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="162"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="172"/>
    </property>
  </concept>
  <concept>
    <code value="A"/>
    <display value="A-Problem (Atemwege)"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="A-Problem (Atemwege)"/>
    </designation>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Gefährdeter Atemweg"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="A-problem (Airway)"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Airway compromise"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="B"/>
    <display value="B-Problem (Atmung)"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="B-Problem (Atmung)"/>
    </designation>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unzureichende Atmung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="B-problem (Breathing)"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Inadequate breathing"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="C"/>
    <display value="C-Problem (Zirkulation)"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="C-Problem (Zirkulation)"/>
    </designation>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Schock"/>
    </designation>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Lebensbedrohliche Blutung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="C-problem (Circulation)"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Shock"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Exsanguinating heamorrhage"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="5"/>
    <display value="Akute Augenverletzung mit Chemikalien"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Akute Augenverletzung mit Chemikalien"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Acute chemical eye injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="11"/>
    <display value="Anhaltender Krampfanfall"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Anhaltender Krampfanfall"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Currently fitting"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="17"/>
    <display value="Atmet nach Freimachen der Atemwege"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Atmet nach Freimachen der Atemwege"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Breathing after airway opened"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="75"/>
    <display value="Hypoglykämie"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hypoglykämie"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hypoglycaemia"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="113"/>
    <display value="Nabelschnurvorfall"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Nabelschnurvorfall"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Prolapsed umbilical cord"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="117"/>
    <display value="Nicht ansprechbar"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Nicht ansprechbar"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unresponsive"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="118"/>
    <display value="Nicht ansprechbares Kind"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Nicht ansprechbares Kind"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unresponsive child"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="130"/>
    <display value="Puls unnormal"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Puls unnormal"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Pulse abnormal"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="136"/>
    <display value="Rekapillarisierungszeit unnormal"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Rekapillarisierungszeit unnormal"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Capillary refill time abnormal"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="153"/>
    <display value="Sichtbare Körperteile des Fötus"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Sichtbare Körperteile des Fötus"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Presenting foetal parts"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="157"/>
    <display value="Speichelfluss"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Speichelfluss"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Drooling"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="162"/>
    <display value="Stridor"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Stridor"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Stridor"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="172"/>
    <display value="Unnormale Atemfrequenz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unnormale Atemfrequenz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Respiratory rate"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="red"/>
    </property>
  </concept>
  <concept>
    <code value="orange"/>
    <display value="orange Indikatoren"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="orange Indikatoren"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="orange indicators"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="1"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="2"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="3"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="4"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="6"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="8"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="9"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="10"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="16"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="18"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="19"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="24"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="26"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="28"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="33"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="34"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="36"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="44"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="45"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="46"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="49"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="52"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="53"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="57"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="64"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="65"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="66"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="67"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="69"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="71"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="72"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="74"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="77"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="85"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="87"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="91"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="98"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="112"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="114"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="119"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="125"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="127"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="128"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="131"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="135"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="137"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="140"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="141"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="148"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="149"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="150"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="151"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="152"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="154"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="158"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="160"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="159"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="164"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="174"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="177"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="181"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="183"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="186"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="187"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="190"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="191"/>
    </property>
  </concept>
  <concept>
    <code value="1"/>
    <display value="Abdominalschmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Abdominalschmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Abdominal pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="2"/>
    <display value="Abruptes Einsetzen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Abruptes Einsetzen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Abrupt onset"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="3"/>
    <display value="Aktive Wehentätigkeit"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Aktive Wehentätigkeit"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="In active labour"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="4"/>
    <display value="Akute Atemnot"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Akute Atemnot"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Acutely short of breath"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="6"/>
    <display value="Akuter vollständiger Visusverlust"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Akuter vollständiger Visusverlust"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Acute complete loss of vision"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="8"/>
    <display value="Akutes Einsetzen nach einer Verletzung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Akutes Einsetzen nach einer Verletzung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Acute onset after injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="9"/>
    <display value="Akutes neurologisches Defizit"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Akutes neurologisches Defizit"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="New neurological deficit less than 24 hours old"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="10"/>
    <display value="Alter unter 25 Jahren"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Alter unter 25 Jahren"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Age less than 25 years"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="16"/>
    <display value="Anzeichen für stärkste Schmerzen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Anzeichen für stärkste Schmerzen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Signs of severe pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="18"/>
    <display value="Auffällige Allergieanamnese"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auffällige Allergieanamnese"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Significant history of allergy"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="19"/>
    <display value="Auffällige Anamnese mit GI-Blutungen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auffällige Anamnese mit GI-Blutungen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Significant history of GI bleed"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="24"/>
    <display value="Auffällige respiratorische Anamnese"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auffällige respiratorische Anamnese"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Significant respiratory history"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="26"/>
    <display value="Auffälliger Verletzungsmechanismus"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auffälliger Verletzungsmechanismus"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Significant mechanism of injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="28"/>
    <display value="Bekannte oder vermutete Immunsuppression"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Bekannte oder vermutete Immunsuppression"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Known or likely inmmunosuppression"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="33"/>
    <display value="Bericht über Krampfanfall"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Bericht über Krampfanfall"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="History of fitting"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="34"/>
    <display value="Bericht über Überdosierung oder Vergiftung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Bericht über Überdosierung oder Vergiftung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="History of overdose or poisoning"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="36"/>
    <display value="Besonderes Infektionsrisiko"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Besonderes Infektionsrisiko"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Special risk of infection"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="44"/>
    <display value="Erbrechen von Blut"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Erbrechen von Blut"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Vomiting blood"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="45"/>
    <display value="Erhöhte Atemarbeit"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Erhöhte Atemarbeit"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Increased work of breathing"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="46"/>
    <display value="Erschöpfungszustand"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Erschöpfungszustand"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Exhaustion"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="49"/>
    <display value="Frisch- oder altblutiger Stuhlgang"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Frisch- oder altblutiger Stuhlgang"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Passing fresh or altered blood PR"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="52"/>
    <display value="Gefährdete (distale) Durchblutung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Gefährdete (distale) Durchblutung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Vascular compromise"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="53"/>
    <display value="Gefährdete distale Durchblutung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Gefährdete distale Durchblutung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Distal vascular compromise"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="57"/>
    <display value="Gesichtsödem"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Gesichtsödem"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Facial oedema"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="64"/>
    <display value="Heißer Säugling"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Heißer Säugling"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hot baby"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="65"/>
    <display value="Hervortreten von Organen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hervortreten von Organen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Externalisation of organs"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="66"/>
    <display value="Hoch letale Chemikalie"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hoch letale Chemikalie"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="High lethality chemical"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="67"/>
    <display value="Hoch letaler Tierbiss"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hoch letaler Tierbiss"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="High lethality envenomation"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="69"/>
    <display value="Hohe Letalität"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hohe Letalität"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="High lethality"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="71"/>
    <display value="Hohes Risiko (künftiger) Eigengefährdung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hohes Risiko (künftiger) Eigengefährdung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="High risk of (further) self-harm"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="72"/>
    <display value="Hohes Risiko (künftiger) Fremdgefährdung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hohes Risiko (künftiger) Fremdgefährdung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="High risk of (further) harm to others"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="74"/>
    <display value="Hyperglykämie mit Ketose"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hyperglykämie mit Ketose"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hyperglycaemia with ketosis"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="77"/>
    <display value="Inhalationstrauma"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Inhalationstrauma"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Inhalational injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="85"/>
    <display value="Kann nicht in ganzen Sätzen sprechen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Kann nicht in ganzen Sätzen sprechen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unable to talk in sentences"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="87"/>
    <display value="Kardialer Schmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Kardialer Schmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Cardiac pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="91"/>
    <display value="Keine Reaktion auf die Eltern"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Keine Reaktion auf die Eltern"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Fails to react to parents"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="98"/>
    <display value="Kritischer Hautzustand"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Kritischer Hautzustand"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Critical skin"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="112"/>
    <display value="Meningismuszeichen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Meningismuszeichen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Signs of meningism"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="114"/>
    <display value="Neuer unnormaler Puls"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Neuer unnormaler Puls"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="New abnormal pulse"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="119"/>
    <display value="Nicht verblassender Ausschlag"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Nicht verblassender Ausschlag"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Non-blanching rash"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="125"/>
    <display value="Penetrationstrauma des Auges"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Penetrationstrauma des Auges"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Penetrating eye injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="127"/>
    <display value="Potentiell gefährlicher Fremdkörper"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Potentiell gefährlicher Fremdkörper"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Ingestation of dangerous object"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="128"/>
    <display value="Priapismus"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Priapismus"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Priapism"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="131"/>
    <display value="Purpura"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Purpura"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Purpura"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="135"/>
    <display value="Reagiert nur auf Ansprache oder Schmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Reagiert nur auf Ansprache oder Schmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Responds to pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="137"/>
    <display value="Risiko anhaltender Kontamination"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Risiko anhaltender Kontamination"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Risk of continued contamination"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="140"/>
    <display value="Schlaffes Kind"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Schlaffes Kind"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Floppy"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="141"/>
    <display value="Schmerzausstrahlung in den Rücken"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Schmerzausstrahlung in den Rücken"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Pain radiating on the back"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="148"/>
    <display value="Sehr heiß"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Sehr heiß"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Very hot"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="149"/>
    <display value="Sehr niedrige O2-Sättigung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Sehr niedrige O2-Sättigung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Very low Sp02"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="150"/>
    <display value="Sehr niedriger Peakflow"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Sehr niedriger Peakflow"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Very low PEFR"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="151"/>
    <display value="Sepsisverdacht"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Sepsisverdacht"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Possible sepsis"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="152"/>
    <display value="Sichtbare abdominelle Massierung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Sichtbare abdominelle Massierung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Visible abdominal mass"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="154"/>
    <display value="Skrotalgangrän"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Skrotalgangrän"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Scrotal gangrene"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="158"/>
    <display value="Starker vaginaler Blutverlust"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Starker vaginaler Blutverlust"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Heavy PV blood loss"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="160"/>
    <display value="Stärkster Schmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Stärkster Schmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="severe pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="159"/>
    <display value="Stärkster Schmerz oder Juckreiz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Stärkster Schmerz oder Juckreiz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Severe itch"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
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    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
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  <concept>
    <code value="164"/>
    <display value="Subkutane Gasansammlung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Subkutane Gasansammlung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Subcutaneous gas"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
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    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
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  <concept>
    <code value="174"/>
    <display value="Unstillbare große Blutung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unstillbare große Blutung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Uncontrollable major heamorrhage"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
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    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
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  <concept>
    <code value="177"/>
    <display value="Unterkühlt"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unterkühlt"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Cold"/>
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    <property>
      <code value="status"/>
      <valueCode value="active"/>
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    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
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  <concept>
    <code value="181"/>
    <display value="Unzureichende Vorgeschichte (des Alkoholkonsums)"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unzureichende Vorgeschichte (des Alkoholkonsums)"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Inadequate history"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
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  </concept>
  <concept>
    <code value="183"/>
    <display value="Vaginaler Blutverlust zweite Schwangerschaftshälfte"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Vaginaler Blutverlust zweite Schwangerschaftshälfte"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="PV blood loss and 20 weeks pregnant or more"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
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    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
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  </concept>
  <concept>
    <code value="186"/>
    <display value="Veränderter Bewusstseinszustand"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Veränderter Bewusstseinszustand"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Altered conscious level"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
    </property>
  </concept>
  <concept>
    <code value="187"/>
    <display value="Veränderter Bewusstseinszustand nicht vollständig durch Alkoholgenuss erklärbar"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Veränderter Bewusstseinszustand nicht vollständig durch Alkoholgenuss erklärbar"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Altered conscious level not wholly attributable to alcohol"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
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  <concept>
    <code value="190"/>
    <display value="Verringerte Kindsbewegungen 2. SSH"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Verringerte Kindsbewegungen 2. SSH"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Reduced foetal movements >20 weeks"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
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    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
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  </concept>
  <concept>
    <code value="191"/>
    <display value="Zungenödem"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Zungenödem"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Oedema of the tongue"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="orange"/>
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  </concept>
  <concept>
    <code value="yellow"/>
    <display value="gelbe Indikatoren"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="gelbe Indikatoren"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="yellow indicators"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
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    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="child"/>
      <valueCode value="7"/>
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    <property>
      <code value="child"/>
      <valueCode value="12"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
      <valueCode value="14"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
      <valueCode value="21"/>
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    <property>
      <code value="child"/>
      <valueCode value="22"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
      <valueCode value="32"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
      <valueCode value="38"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
      <valueCode value="42"/>
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    <property>
      <code value="child"/>
      <valueCode value="51"/>
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    <property>
      <code value="child"/>
      <valueCode value="55"/>
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    <property>
      <code value="child"/>
      <valueCode value="59"/>
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    <property>
      <code value="child"/>
      <valueCode value="60"/>
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    <property>
      <code value="child"/>
      <valueCode value="62"/>
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    <property>
      <code value="child"/>
      <valueCode value="63"/>
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    <property>
      <code value="child"/>
      <valueCode value="68"/>
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    <property>
      <code value="child"/>
      <valueCode value="70"/>
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    <property>
      <code value="child"/>
      <valueCode value="73"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="78"/>
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    <property>
      <code value="child"/>
      <valueCode value="88"/>
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    <property>
      <code value="child"/>
      <valueCode value="89"/>
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    <property>
      <code value="child"/>
      <valueCode value="90"/>
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    <property>
      <code value="child"/>
      <valueCode value="92"/>
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    <property>
      <code value="child"/>
      <valueCode value="94"/>
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    <property>
      <code value="child"/>
      <valueCode value="99"/>
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    <property>
      <code value="child"/>
      <valueCode value="104"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
      <valueCode value="109"/>
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    <property>
      <code value="child"/>
      <valueCode value="108"/>
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    <property>
      <code value="child"/>
      <valueCode value="110"/>
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    <property>
      <code value="child"/>
      <valueCode value="111"/>
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    <property>
      <code value="child"/>
      <valueCode value="115"/>
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    <property>
      <code value="child"/>
      <valueCode value="116"/>
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    <property>
      <code value="child"/>
      <valueCode value="120"/>
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    <property>
      <code value="child"/>
      <valueCode value="121"/>
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    <property>
      <code value="child"/>
      <valueCode value="122"/>
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    <property>
      <code value="child"/>
      <valueCode value="126"/>
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    <property>
      <code value="child"/>
      <valueCode value="132"/>
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    <property>
      <code value="child"/>
      <valueCode value="133"/>
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    <property>
      <code value="child"/>
      <valueCode value="142"/>
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    <property>
      <code value="child"/>
      <valueCode value="143"/>
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    <property>
      <code value="child"/>
      <valueCode value="145"/>
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    <property>
      <code value="child"/>
      <valueCode value="156"/>
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    <property>
      <code value="child"/>
      <valueCode value="161"/>
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    <property>
      <code value="child"/>
      <valueCode value="163"/>
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    <property>
      <code value="child"/>
      <valueCode value="165"/>
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    <property>
      <code value="child"/>
      <valueCode value="169"/>
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    <property>
      <code value="child"/>
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    <property>
      <code value="child"/>
      <valueCode value="171"/>
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    <property>
      <code value="child"/>
      <valueCode value="173"/>
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    <property>
      <code value="child"/>
      <valueCode value="175"/>
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    <property>
      <code value="child"/>
      <valueCode value="176"/>
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    <property>
      <code value="child"/>
      <valueCode value="178"/>
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    <property>
      <code value="child"/>
      <valueCode value="182"/>
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    <property>
      <code value="child"/>
      <valueCode value="184"/>
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    <property>
      <code value="child"/>
      <valueCode value="188"/>
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  </concept>
  <concept>
    <code value="7"/>
    <display value="Akuter Zahnverlust"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Akuter Zahnverlust"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Acutely avulsed tooth"/>
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    <property>
      <code value="status"/>
      <valueCode value="active"/>
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    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
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  </concept>
  <concept>
    <code value="12"/>
    <display value="Anhaltendes Erbrechen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Anhaltendes Erbrechen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
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      <value value="Presistent vomiting"/>
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    <property>
      <code value="status"/>
      <valueCode value="active"/>
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    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
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  </concept>
  <concept>
    <code value="13"/>
    <display value="Anhaltendes Herzklopfen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Anhaltendes Herzklopfen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Current palpitation"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
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    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
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  </concept>
  <concept>
    <code value="14"/>
    <display value="Anzeichen für Dehydration"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Anzeichen für Dehydration"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Signs of dehydration"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="15"/>
    <display value="Anzeichen für mäßige Schmerzen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Anzeichen für mäßige Schmerzen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Signs of moderate pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="20"/>
    <display value="Auffällige hämatologische oder metabolische Anamnese"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auffällige hämatologische oder metabolische Anamnese"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Significant heamatological history"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="21"/>
    <display value="Auffällige kardiale Anamnese"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auffällige kardiale Anamnese"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Significant cardiac history"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="22"/>
    <display value="Auffällige medizinische Vorgeschichte"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auffällige medizinische Vorgeschichte"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Significant medical history"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="23"/>
    <display value="Auffällige psychiatrische Anamnese"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auffällige psychiatrische Anamnese"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Significant psychiatric history"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="25"/>
    <display value="Auffällige Unruhe"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auffällige Unruhe"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Marked distress"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="29"/>
    <display value="Bericht über akutes Erbrechen von Blut"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Bericht über akutes Erbrechen von Blut"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="History of acutely vomiting blood"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="30"/>
    <display value="Bericht über Bewusstlosigkeit"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Bericht über Bewusstlosigkeit"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="History of unconsciousness"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="31"/>
    <display value="Bericht über jüngeren Auslandsaufenthalt"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Bericht über jüngeren Auslandsaufenthalt"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="History of recent foreign travel"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="32"/>
    <display value="Bericht über Kopfverletzung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Bericht über Kopfverletzung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="History of head injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="35"/>
    <display value="Bericht über Unfall"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Bericht über Unfall"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="History of trauma"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="37"/>
    <display value="Blutungsneigung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Blutungsneigung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Bleeding disorder"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="38"/>
    <display value="Direktes Nackentrauma"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Direktes Nackentrauma"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Direct trauma to the neck"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="39"/>
    <display value="Direktes Rückentrauma"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Direktes Rückentrauma"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Direct trauma to the back"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="42"/>
    <display value="Empfindliche Kopfhaut"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Empfindliche Kopfhaut"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Temporal scalp tenderness"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="51"/>
    <display value="Frisches neurologisches Defizit"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Frisches neurologisches Defizit"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="New neurological deficit more than 24 hours old"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="55"/>
    <display value="Gehfähig"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Gehfähig"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Walking"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="59"/>
    <display value="Grobe Fehlstellung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Grobe Fehlstellung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Gross deformity"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="60"/>
    <display value="Großflächige Absonderungen oder Bläschenbildungen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Großflächige Absonderungen oder Bläschenbildungen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Widespread discharge or blistering"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="62"/>
    <display value="Harnverhalt"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Harnverhalt"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Retention of urine"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="63"/>
    <display value="Heiß"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Heiß"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hot"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="68"/>
    <display value="Hodenschmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hodenschmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Testicular pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="70"/>
    <display value="Hoher Blutdruck"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hoher Blutdruck"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="High blood pressure"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="73"/>
    <display value="Hyperglykämie"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hyperglykämie"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hyperglycaemia"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="78"/>
    <display value="Jünger reduzierte Sehschärfe"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Jünger reduzierte Sehschärfe"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Recent reduced visual acuity"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="88"/>
    <display value="Kein Ansprechen auf eigene Asthmamedikation"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Kein Ansprechen auf eigene Asthmamedikation"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="No improvement with own asthma medications"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="89"/>
    <display value="Keine Nahrungsaufnahme"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Keine Nahrungsaufnahme"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Not feeding"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="90"/>
    <display value="Keine Nahrungsaufnahme möglich"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Keine Nahrungsaufnahme möglich"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unable to feed"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="92"/>
    <display value="Keine Urinausscheidung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Keine Urinausscheidung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Not passing urine"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="94"/>
    <display value="Kolikartige Schmerzen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Kolikartige Schmerzen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Colicky pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="99"/>
    <display value="Langanhaltendes oder ununterbrochenes Schreien"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Langanhaltendes oder ununterbrochenes Schreien"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Prolonged or uninterrupted crying"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="104"/>
    <display value="Makrohämaturie"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Makrohämaturie"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Frank heamaturia"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="105"/>
    <display value="Mäßig letale Chemikalie"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Mäßig letale Chemikalie"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Moderate lethality chemical"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="106"/>
    <display value="Mäßig letaler Tierbiss"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Mäßig letaler Tierbiss"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Moderate lethality envenomation"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="107"/>
    <display value="Mäßige Letalität"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Mäßige Letalität"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Moderate lethality"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="109"/>
    <display value="Mäßiger Schmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Mäßiger Schmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Moderate pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="108"/>
    <display value="Mäßiger Schmerz oder Juckreiz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Mäßiger Schmerz oder Juckreiz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Moderate itch"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="110"/>
    <display value="Mäßiges Risiko (künftiger) Eigengefährdung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Mäßiges Risiko (künftiger) Eigengefährdung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Moderate risk of (further) harm to others"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="111"/>
    <display value="Mäßiges Risiko (künftiger) Fremdgefährdung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Mäßiges Risiko (künftiger) Fremdgefährdung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Moderate risk of (further) self-harm"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="115"/>
    <display value="Neuer Verwirrtheitszustand"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Neuer Verwirrtheitszustand"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="New confusion"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="116"/>
    <display value="Nicht ablenkbar"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Nicht ablenkbar"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Not distractible"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="120"/>
    <display value="Niedrige O2-Sättigung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Niedrige O2-Sättigung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Low SpO2"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="121"/>
    <display value="Niedriger Peakflow"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Niedriger Peakflow"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Low PEFR"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="122"/>
    <display value="Offene Fraktur"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Offene Fraktur"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Open fracture"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="126"/>
    <display value="Pleuraschmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Pleuraschmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Pleuritic pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="132"/>
    <display value="Rasches Einsetzen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Rasches Einsetzen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Rapid onset"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="133"/>
    <display value="Rauchexposition"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Rauchexposition"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Smoke exposure"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="142"/>
    <display value="Schmerzausstrahlung in die Schulter"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Schmerzausstrahlung in die Schulter"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Shoulder tip pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="143"/>
    <display value="Schmerzen bei Bewegung im Gelenk"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Schmerzen bei Bewegung im Gelenk"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Pain on joint movement"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="145"/>
    <display value="Schwangerschaft möglich"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Schwangerschaft möglich"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Possibly pregnant"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="156"/>
    <display value="Skrotumschwellung/-rötung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Skrotumschwellung/-rötung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Scrotal cellulitis"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="161"/>
    <display value="Störend"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Störend"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Disruptive"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="163"/>
    <display value="Stromunfall"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Stromunfall"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Electrical injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="165"/>
    <display value="Teerstuhl oder frische Blutauflagerung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Teerstuhl oder frische Blutauflagerung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Black or redcurrant stool"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="169"/>
    <display value="Überwärmtes Gelenk"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Überwärmtes Gelenk"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Hot joint"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="170"/>
    <display value="Überwärmtes Neugeborenes"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Überwärmtes Neugeborenes"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Warm newborn"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="171"/>
    <display value="Unfähig zu Gehen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unfähig zu Gehen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unable to walk"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="173"/>
    <display value="Unpassende Vorgeschichte"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unpassende Vorgeschichte"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Inappropriate history"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="175"/>
    <display value="Unstillbare kleine Blutung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unstillbare kleine Blutung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Uncontrollable minor heamorrhage"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="176"/>
    <display value="Unterbauchschmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Unterbauchschmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Lower abdominal pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="178"/>
    <display value="Untröstbar durch die Eltern"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Untröstbar durch die Eltern"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Inconsolable by parents"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="182"/>
    <display value="Vaginaler Blutverlust"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Vaginaler Blutverlust"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="PV blood loss"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="184"/>
    <display value="Vaginaltrauma"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Vaginaltrauma"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Vaginal trauma"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="188"/>
    <display value="Veränderter Bewusstseinszustand vollständig durch Alkoholgenuss erklärbar"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Veränderter Bewusstseinszustand vollständig durch Alkoholgenuss erklärbar"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Altered conscious level wholly attributable to alcohol"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="yellow"/>
    </property>
  </concept>
  <concept>
    <code value="green"/>
    <display value="grüne Indikatoren"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="grüne Indikatoren"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="green indicators"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="27"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="40"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="41"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="43"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="47"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="48"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="56"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="58"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="76"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="80"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="81"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="83"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="82"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="84"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="93"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="95"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="96"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="102"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="103"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="123"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="129"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="146"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="147"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="155"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="166"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="168"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="179"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="185"/>
    </property>
  </concept>
  <concept>
    <code value="27"/>
    <display value="Ausfluss"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Ausfluss"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Discharge"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="40"/>
    <display value="Doppelbilder"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Doppelbilder"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Diplopia"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="41"/>
    <display value="Dysurie"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Dysurie"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Dysuria"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="43"/>
    <display value="Erbrechen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Erbrechen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Vomiting"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="47"/>
    <display value="Fehlstellung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Fehlstellung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Deformity"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="48"/>
    <display value="Fremdkörpergefühl"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Fremdkörpergefühl"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Foreign body sensation"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="56"/>
    <display value="Gerötetes Auge"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Gerötetes Auge"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Red eye"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="58"/>
    <display value="Gesichtsschwellung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Gesichtsschwellung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Facial swelling"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="76"/>
    <display value="Ikterus"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Ikterus"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Jaundice"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="80"/>
    <display value="Jüngere Verletzung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Jüngere Verletzung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Recent injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="81"/>
    <display value="Jüngerer Hörverlust"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Jüngerer Hörverlust"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Recent hearing loss"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="83"/>
    <display value="Jüngerer leichter Schmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Jüngerer leichter Schmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Recent mild pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="82"/>
    <display value="Jüngerer leichter Schmerz oder Juckreiz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Jüngerer leichter Schmerz oder Juckreiz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Recent mild itch"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="84"/>
    <display value="Jüngeres Problem"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Jüngeres Problem"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Recent problem"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="93"/>
    <display value="Keuchen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Keuchen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Wheeze"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="95"/>
    <display value="Kopfhauthämatom"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Kopfhauthämatom"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Scalp heamatoma"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="96"/>
    <display value="Kopfschmerzen"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Kopfschmerzen"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Headache"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="102"/>
    <display value="Lokale Infektion"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Lokale Infektion"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Local infection"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="103"/>
    <display value="Lokale Inflammation"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Lokale Inflammation"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Local inflammation"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="123"/>
    <display value="Ohrmuschelhämatom"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Ohrmuschelhämatom"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Auricular heamatoma"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="129"/>
    <display value="Produktiver Husten"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Produktiver Husten"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Productive cough"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="146"/>
    <display value="Schwellung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Schwellung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Swelling"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="147"/>
    <display value="Schwindel"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Schwindel"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Vertigo"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="155"/>
    <display value="Skrotaltrauma"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Skrotaltrauma"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Scrotal trauma"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="166"/>
    <display value="Thoraxverletzung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Thoraxverletzung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Chest injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="168"/>
    <display value="Überwärmt"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Überwärmt"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Warm"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="179"/>
    <display value="Untypisches Verhalten"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Untypisches Verhalten"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Atypical behaviour"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="185"/>
    <display value="Veränderte Sensibilität im Gesicht"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Veränderte Sensibilität im Gesicht"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Altered facial sensation"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="green"/>
    </property>
  </concept>
  <concept>
    <code value="unclassified"/>
    <display value="unklassifiziert"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="unklassifiziert"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="unclassified"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="50"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="61"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="79"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="86"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="97"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="101"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="124"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="134"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="138"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="139"/>
    </property>
    <property>
      <code value="child"/>
      <valueCode value="189"/>
    </property>
  </concept>
  <concept>
    <code value="50"/>
    <display value="Frisches Blut"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Frisches Blut"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Fresh blood"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
  <concept>
    <code value="61"/>
    <display value="Großflächiger Hautausschlag"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Großflächiger Hautausschlag"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Widespread rash or blistering"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
  <concept>
    <code value="79"/>
    <display value="Jüngere Anzeichen für leichten Schmerz"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Jüngere Anzeichen für leichten Schmerz"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Recent signs of mild pain"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
  <concept>
    <code value="86"/>
    <display value="Kapillarfüllzeit"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Kapillarfüllzeit"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Capillary refill time"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
  <concept>
    <code value="97"/>
    <display value="Kopfverletzung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Kopfverletzung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Head injury"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
  <concept>
    <code value="101"/>
    <display value="Letalität"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Letalität"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Lethality"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
  <concept>
    <code value="124"/>
    <display value="Penetrationstrauma"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Penetrationstrauma"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Penetrating trauma"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
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  </concept>
  <concept>
    <code value="134"/>
    <display value="Reagiert auf Ansprache"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Reagiert auf Ansprache"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Responds to voice"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
  <concept>
    <code value="138"/>
    <display value="Risiko der Fremdgefährdung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Risiko der Fremdgefährdung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Risk of harm to others"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
  <concept>
    <code value="139"/>
    <display value="Risiko der Selbstgefährdung"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Risiko der Selbstgefährdung"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Risk of self-harm"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
  <concept>
    <code value="189"/>
    <display value="Verändertes Blut"/>
    <designation>
      <language value="de-DE"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Verändertes Blut"/>
    </designation>
    <designation>
      <language value="en-US"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
        <display value="Synonym"/>
      </use>
      <value value="Altered blood"/>
    </designation>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="effectiveDate"/>
      <valueDateTime value="2023-11-20"/>
    </property>
    <property>
      <code value="parent"/>
      <valueCode value="unclassified"/>
    </property>
  </concept>
</CodeSystem>