diff --git a/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/CrConfig.java b/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/CrConfig.java
index 21953802c..6d018eeac 100644
--- a/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/CrConfig.java
+++ b/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/CrConfig.java
@@ -110,6 +110,12 @@ public RepositoryService repositoryService() {
 		return new RepositoryService();
 	}
 
+	@Bean
+	@Conditional(OnR4Condition.class)
+	public ValueSetSynonymUpdateInterceptor valueSetInterceptor() {
+		return new ValueSetSynonymUpdateInterceptor(this.crRulerProperties().getRckmsSynonymsUrl());
+	}
+
 	@Bean
 	@Conditional(OnR4Condition.class)
 	public KnowledgeArtifactProcessor knowledgeArtifactProcessor() {
diff --git a/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/CrRulerProperties.java b/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/CrRulerProperties.java
index 08f9da88a..b5749601a 100644
--- a/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/CrRulerProperties.java
+++ b/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/CrRulerProperties.java
@@ -20,6 +20,12 @@ public void setEnabled(boolean enabled) {
 		this.enabled = enabled;
 	}
 
+	private final String rckmsSynonymsUrl = "http://ersd.aimsplatform.org/fhir/ValueSet/rckms-condition-codes";
+
+	public String getRckmsSynonymsUrl() {
+		return this.rckmsSynonymsUrl;
+	}
+
 	private String vsacUsername;
 
 	public String getVsacUsername() { return vsacUsername; }
@@ -32,4 +38,5 @@ public void setEnabled(boolean enabled) {
 
 	public void setVsacApiKey(String vsacApiKey) { this.vsacApiKey = vsacApiKey; }
 
+
 }
diff --git a/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/ValueSetSynonymUpdateInterceptor.java b/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/ValueSetSynonymUpdateInterceptor.java
new file mode 100644
index 000000000..858c8ba4c
--- /dev/null
+++ b/plugin/cr/src/main/java/org/opencds/cqf/ruler/cr/ValueSetSynonymUpdateInterceptor.java
@@ -0,0 +1,94 @@
+package org.opencds.cqf.ruler.cr;
+
+import java.util.ArrayList;
+import java.util.List;
+
+import org.cqframework.fhir.api.FhirDal;
+import org.hl7.fhir.instance.model.api.IBaseResource;
+import org.hl7.fhir.r4.model.CodeableConcept;
+import org.hl7.fhir.r4.model.Library;
+import org.hl7.fhir.r4.model.RelatedArtifact;
+import org.hl7.fhir.r4.model.ResourceType;
+import org.hl7.fhir.r4.model.ValueSet;
+import org.hl7.fhir.r4.model.ValueSet.ConceptReferenceComponent;
+import org.hl7.fhir.r4.model.ValueSet.ConceptSetComponent;
+import org.opencds.cqf.ruler.behavior.DaoRegistryUser;
+import org.opencds.cqf.ruler.utility.TypedBundleProvider;
+import org.springframework.beans.factory.annotation.Autowired;
+
+import ca.uhn.fhir.interceptor.api.Hook;
+import ca.uhn.fhir.interceptor.api.Pointcut;
+import ca.uhn.fhir.jpa.api.dao.DaoRegistry;
+import ca.uhn.fhir.jpa.searchparam.SearchParameterMap;
+import ca.uhn.fhir.rest.api.server.RequestDetails;
+import ca.uhn.fhir.rest.param.TokenParam;
+import ca.uhn.fhir.rest.server.exceptions.UnprocessableEntityException;
+
+public class ValueSetSynonymUpdateInterceptor implements org.opencds.cqf.ruler.api.Interceptor, DaoRegistryUser {
+  	@Autowired
+	  private DaoRegistry myDaoRegistry;
+
+    private String synonymUrl;
+
+    ValueSetSynonymUpdateInterceptor(String synonymUrl) {
+      this.synonymUrl = synonymUrl;
+    }
+
+    public DaoRegistry getDaoRegistry() {
+      return myDaoRegistry;
+    }
+
+    /** Handle updates */
+   @Hook(Pointcut.STORAGE_PRESTORAGE_RESOURCE_UPDATED)
+   public void update(
+    IBaseResource theOldResource,
+    IBaseResource theResource,
+    RequestDetails theRequestDetails) throws UnprocessableEntityException {
+      if (theResource.fhirType().equals(ResourceType.ValueSet.toString())) {
+        ValueSet vs = (ValueSet) theResource;
+        if (vs.getUrl().equals(this.synonymUrl)) {
+          FhirDal fhirDal = new JpaFhirDal(myDaoRegistry,theRequestDetails);
+          List<ConceptSetComponent> sets = vs.getCompose().getInclude();
+          List<Library> librariesToUpdate = new ArrayList<Library>();
+          for (ConceptSetComponent set: sets) {
+            // for each system in the value set
+            String system = set.getSystem();
+            List<ConceptReferenceComponent> concepts = set.getConcept();
+            for (ConceptReferenceComponent concept:concepts) {
+              // for each concept.code need to update the extension.valueCodeableConcept.coding.display to concept.designation(where code = synonym).value
+              TokenParam token = new TokenParam(system,concept.getCode());
+              SearchParameterMap map = new SearchParameterMap("manifest-contains-code",token);
+              TypedBundleProvider<Library> result = search(Library.class, map);
+              result.getAllResourcesTyped().stream().forEach(lib -> {
+                Library getCachedLibraryOrAdd = librariesToUpdate
+                  .stream().filter(existing -> existing.getId().equals(lib.getId())).findFirst()
+                  .orElseGet(() -> {
+                    librariesToUpdate.add(lib);
+                    return lib;
+                  });
+                String newText = concept.getDesignation()
+                  .stream().filter(designation -> designation.getUse().getCode().equals("synonym"))
+                  .findFirst().orElseThrow(()-> new UnprocessableEntityException("No synonym found for code: " + system + "|" + concept.getCode()))
+                  .getValue();
+                updateConditionWithNewSynonym(getCachedLibraryOrAdd,system, concept.getCode(),newText );
+              });
+            }
+          }
+          for (Library library:librariesToUpdate) {
+            fhirDal.update(library);
+          }
+        }
+      }
+   }
+   private void updateConditionWithNewSynonym(Library library, String system, String code, String newText) {
+    List<RelatedArtifact> relatedArtifacts = library.getRelatedArtifact();
+    relatedArtifacts.stream()
+      .map(ra -> ra.getExtensionByUrl(KnowledgeArtifactProcessor.valueSetConditionUrl))
+      .filter(ext -> ext != null)
+      .map(ext -> (CodeableConcept)ext.getValue())
+      .filter(concept -> concept.getCoding().stream().anyMatch(coding -> coding.getSystem().equals(system) && coding.getCode().equals(code)))
+      .forEach(concept -> {
+        concept.setText(newText);
+      });
+   }
+}
diff --git a/plugin/cr/src/test/java/org/opencds/cqf/ruler/cr/r4/RepositoryServiceTest.java b/plugin/cr/src/test/java/org/opencds/cqf/ruler/cr/r4/RepositoryServiceTest.java
index 24c5bea75..924eda8f4 100644
--- a/plugin/cr/src/test/java/org/opencds/cqf/ruler/cr/r4/RepositoryServiceTest.java
+++ b/plugin/cr/src/test/java/org/opencds/cqf/ruler/cr/r4/RepositoryServiceTest.java
@@ -34,6 +34,7 @@
 import org.hl7.fhir.r4.model.DateType;
 import org.hl7.fhir.r4.model.Enumerations;
 import org.hl7.fhir.r4.model.Extension;
+import org.hl7.fhir.r4.model.IdType;
 import org.hl7.fhir.r4.model.IntegerType;
 import org.hl7.fhir.r4.model.Library;
 import org.hl7.fhir.r4.model.Measure;
@@ -1446,6 +1447,48 @@ void validatePackageOutput() {
 	}
 
 	@Test
+	void update_rckms_valueset_updates_Libraries() {
+		// setup
+		ValueSet conditions = (ValueSet) loadResource("rckms-condition-codes.json");
+		IdType id = new IdType(conditions.getId());
+		// just remove the history part or it causes problems later
+		conditions.setId(id.getResourceType()+"/"+id.getIdPart());
+		loadResource("manifest-code-search-parameter.json");
+		loadTransaction("libraries-with-conditions-bundle.json");
+		
+		// if we update 2 synonyms
+		updateSynonym(conditions, "767146004", "testUpdate1");
+		updateSynonym(conditions, "49649001", "testUpdate2");
+		getClient().update().resource(conditions).execute();
+		String valueSetUrl = "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1506|1.0.0";
+		Library lib1 = (Library)getClient().read().resource("Library").withId("lib1").execute();
+		Library lib2 = (Library)getClient().read().resource("Library").withId("lib2").execute();
+		List<Extension> condition1 = getConditionExtensionForValueSet(valueSetUrl,lib1);
+		assertTrue(condition1.size() > 0);
+		// see a change in both libraries
+		assertTrue(((CodeableConcept)condition1.get(0).getValue()).getText().equals("testUpdate1"));
+		List<Extension> condition2 = getConditionExtensionForValueSet(valueSetUrl,lib2);
+		assertTrue(condition2.size() > 0);
+		// see a change in both libraries
+		assertTrue(((CodeableConcept)condition2.get(0).getValue()).getText().equals("testUpdate2"));
+
+	}
+	private void updateSynonym(ValueSet vs, String code, String newText) {
+		vs.getCompose()
+			.getInclude().get(0)
+			.getConcept()
+			.stream().filter(c -> c.getCode().equals(code)).findFirst().get()
+			.getDesignation().get(0)
+			.setValue(newText);
+	}
+	private List<Extension> getConditionExtensionForValueSet(String valueSetUrl, Library library) {
+		return library.getRelatedArtifact().stream()
+			.filter(ra -> ra.hasResource() && ra.getResource().equals(valueSetUrl))
+			.map(ra -> ra.getExtensionByUrl(KnowledgeArtifactProcessor.valueSetConditionUrl))
+			.filter(ext -> ext != null)
+			.collect(Collectors.toList());
+	}
+	
 	void basic_artifact_diff() {
 		loadTransaction("ersd-small-active-bundle.json");
 		Bundle bundle = (Bundle) loadTransaction("small-drafted-ersd-bundle.json");
diff --git a/plugin/cr/src/test/resources/libraries-with-conditions-bundle.json b/plugin/cr/src/test/resources/libraries-with-conditions-bundle.json
new file mode 100644
index 000000000..3dc3c34ce
--- /dev/null
+++ b/plugin/cr/src/test/resources/libraries-with-conditions-bundle.json
@@ -0,0 +1,69 @@
+{
+	"resourceType": "Bundle",
+	"id": "bundle-ersd-specification-example",
+	"type": "transaction",
+	"entry": [
+		{
+			"fullUrl": "http://hl7.org/fhir/us/ecr/Library/SpecificationLibrary",
+			"resource": {
+				"resourceType": "Library",
+				"id": "lib1",
+				"relatedArtifact": [
+					{
+						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://snomed.info/sct",
+											"code": "767146004"
+										}
+									],
+									"text": "Infection caused by Acanthamoeba (disorder)"
+								}
+							}
+						],
+						"type": "depends-on",
+						"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1506|1.0.0"
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "Library/lib1"
+			}
+		},
+		{
+			"fullUrl": "http://hl7.org/fhir/us/ecr/Library/SpecificationLibrary",
+			"resource": {
+				"resourceType": "Library",
+				"id": "lib2",
+				"relatedArtifact": [
+					{
+						"extension": [
+							{
+								"url": "http://aphl.org/fhir/vsm/StructureDefinition/vsm-valueset-condition",
+								"valueCodeableConcept": {
+									"coding": [
+										{
+											"system": "http://snomed.info/sct",
+											"code": "49649001"
+										}
+									],
+									"text": "Infection caused by Acanthamoeba (disorder)"
+								}
+							}
+						],
+						"type": "depends-on",
+						"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1146.1506|1.0.0"
+					}
+				]
+			},
+			"request": {
+				"method": "PUT",
+				"url": "Library/lib2"
+			}
+		}
+	]
+}
diff --git a/plugin/cr/src/test/resources/manifest-code-search-parameter.json b/plugin/cr/src/test/resources/manifest-code-search-parameter.json
new file mode 100644
index 000000000..684a70d63
--- /dev/null
+++ b/plugin/cr/src/test/resources/manifest-code-search-parameter.json
@@ -0,0 +1,10 @@
+{
+	"resourceType": "SearchParameter",
+	"id": "manifest-contains-code",
+	"status": "active",
+	"code": "manifest-contains-code",
+	"base": ["Library"],
+	"type": "token",
+	"description": "Return all Libraries which reference a particular code",
+	"expression": "Library.relatedArtifact.extension.where(url.contains('vsm-valueset-condition')).value as CodeableConcept"
+}
diff --git a/plugin/cr/src/test/resources/rckms-condition-codes.json b/plugin/cr/src/test/resources/rckms-condition-codes.json
new file mode 100644
index 000000000..644ce64ef
--- /dev/null
+++ b/plugin/cr/src/test/resources/rckms-condition-codes.json
@@ -0,0 +1,2933 @@
+{
+	"resourceType": "ValueSet",
+	"id": "rckms-condition-codes",
+	"url": "http://ersd.aimsplatform.org/fhir/ValueSet/rckms-condition-codes",
+	"version": "20230614",
+	"name": "RCKMSContentCodes",
+	"title": "RCKMS Content Codes",
+	"status": "active",
+	"publisher": "RCKMS",
+	"description": "The Reportable Condition Knowledge Management System (RCKMS) associates a standardized code with each condition available for authoring. This workbook contains condition codes included in the June 2023 content release. Please note that while there may be overlap with concepts referenced in RCKMS reporting logic, this value set is not intended to serve as a 'trigger' for case reporting.  When implementing trigger codes for electronic case reporting, use the Reportable Condition Trigger Codes (RCTC) file.",
+	"compose": {
+		"include": [
+			{
+				"system": "http://snomed.info/sct",
+				"version": "2023-03",
+				"concept": [
+					{
+						"code": "49649001",
+						"display": "Infection caused by Acanthamoeba (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Acanthamoeba"
+							}
+						]
+					},
+					{
+						"code": "897031002",
+						"display": "Acute flaccid myelitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Acute Flaccid Myelitis (AFM)"
+							}
+						]
+					},
+					{
+						"code": "216809001",
+						"display": "Accidental poisoning caused by fertilizers (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Agricultural Chemicals (Fertilizer) Poisoning"
+							}
+						]
+					},
+					{
+						"code": "788781001",
+						"display": "Delayed allergy to red meat (finding)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Alpha-gal Syndrome"
+							}
+						]
+					},
+					{
+						"code": "388759003",
+						"display": "Infection caused by Entamoeba histolytica (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Amebiasis"
+							}
+						]
+					},
+					{
+						"code": "13906002",
+						"display": "Anaplasmosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Anaplasmosis"
+							}
+						]
+					},
+					{
+						"code": "399907009",
+						"display": "Animal bite wound (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Animal Bite Injury"
+							}
+						]
+					},
+					{
+						"code": "409498004",
+						"display": "Anthrax (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Anthrax"
+							}
+						]
+					},
+					{
+						"code": "40610006",
+						"display": "Arbovirus infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Arboviral Disease [Other]"
+							}
+						]
+					},
+					{
+						"code": "767146004",
+						"display": "Toxic effect of arsenic and its compounds (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Arsenic Exposure and Toxicity"
+							}
+						]
+					},
+					{
+						"code": "22607003",
+						"display": "Asbestosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Asbestosis"
+							}
+						]
+					},
+					{
+						"code": "21061004",
+						"display": "Babesiosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Babesiosis"
+							}
+						]
+					},
+					{
+						"code": "115635005",
+						"display": "Balamuthia mandrillaris (organism) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Balamuthia mandrillaris Disease"
+							}
+						]
+					},
+					{
+						"code": "69996000",
+						"display": "Blastomycosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Blastomycosis"
+							}
+						]
+					},
+					{
+						"code": "398565003",
+						"display": "Infection caused by Clostridium botulinum (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Botulism"
+							}
+						]
+					},
+					{
+						"code": "414488002",
+						"display": "Infantile botulism (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Botulism, Infant"
+							}
+						]
+					},
+					{
+						"code": "75702008",
+						"display": "Brucellosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Brucellosis"
+							}
+						]
+					},
+					{
+						"code": "85761009",
+						"display": "Byssinosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Byssinosis"
+							}
+						]
+					},
+					{
+						"code": "3398004",
+						"display": "Cadmium poisoning (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cadmium Exposure and Toxicity"
+							}
+						]
+					},
+					{
+						"code": "418182000",
+						"display": "Disease caused by California serogroup virus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "California Serogroup Virus Disease"
+							}
+						]
+					},
+					{
+						"code": "86500004",
+						"display": "Campylobacteriosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Campylobacteriosis"
+							}
+						]
+					},
+					{
+						"code": "363346000",
+						"display": "Malignant neoplastic disease (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cancer"
+							}
+						]
+					},
+					{
+						"code": "865929003",
+						"display": "Infection caused by Candida auris (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Candida auris infection"
+							}
+						]
+					},
+					{
+						"code": "734350003",
+						"display": "Carbapenemase-producing bacteria (organism)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Carbapenemase-Producing Organisms (CPO)"
+							}
+						]
+					},
+					{
+						"code": "715174007",
+						"display": "Carbapenem resistant Acinetobacter baumannii (organism)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Carbapenem-resistant Acinetobacter baumannii (CRAB)"
+							}
+						]
+					},
+					{
+						"code": "712662001 ",
+						"display": "Carbapenem resistant Enterobacteriaceae (organism)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Carbapenem-resistant Enterobacteriaceae (CRE)"
+							}
+						]
+					},
+					{
+						"code": "726492000",
+						"display": "Carbapenem resistant Pseudomonas aeruginosa (organism)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Carbapenem-resistant Pseudomonas aeruginosa (CRPA)"
+							}
+						]
+					},
+					{
+						"code": "17383000",
+						"display": "Toxic effect of carbon monoxide (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Carbon Monoxide Poisoning"
+							}
+						]
+					},
+					{
+						"code": "700372006",
+						"display": "Urinary tract infection associated with catheter (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Catheter-associated Urinary Tract Infection (CAUTI)"
+							}
+						]
+					},
+					{
+						"code": "736152001",
+						"display": "Infection of bloodstream co-occurrent and due to central venous catheter in situ (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Central Line-associated Bloodstream Infection (CLABSI)"
+							}
+						]
+					},
+					{
+						"code": "77506005",
+						"display": "Infection caused by Trypanosoma cruzi (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Chagas Disease"
+							}
+						]
+					},
+					{
+						"code": "266143009",
+						"display": "Chancroid (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Chancroid"
+							}
+						]
+					},
+					{
+						"code": "233733000",
+						"display": "Toxic pneumonitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Chemical Pneumonitis"
+							}
+						]
+					},
+					{
+						"code": "111864006",
+						"display": "Chikungunya fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Chikungunya virus disease"
+							}
+						]
+					},
+					{
+						"code": "240589008",
+						"display": "Chlamydia trachomatis infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Chlamydia trachomatis infection"
+							}
+						]
+					},
+					{
+						"code": "63650001",
+						"display": "Cholera (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cholera"
+							}
+						]
+					},
+					{
+						"code": "186431008",
+						"display": "Clostridioides difficile infection (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Clostridioides difficile (C. diff) infection"
+							}
+						]
+					},
+					{
+						"code": "65154009",
+						"display": "Infection caused by Clostridium perfringens (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Clostridium perfringens Infection"
+							}
+						]
+					},
+					{
+						"code": "29422001",
+						"display": "Coal workers' pneumoconiosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Coal Workers’ Pneumoconiosis (CWP)"
+							}
+						]
+					},
+					{
+						"code": "60826002",
+						"display": "Coccidioidomycosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Coccidioidomycosis"
+							}
+						]
+					},
+					{
+						"code": "6452009",
+						"display": "Colorado tick fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Colorado tick fever"
+							}
+						]
+					},
+					{
+						"code": "1857005",
+						"display": "Congenital rubella syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Congenital Rubella Syndrome (CRS)"
+							}
+						]
+					},
+					{
+						"code": "840539006",
+						"display": "Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "COVID-19"
+							}
+						]
+					},
+					{
+						"code": "792004",
+						"display": "Jakob-Creutzfeldt disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Creutzfeldt-Jakob Disease (CJD) and Variant Creutzfeldt-Jakob Disease (vCJD)"
+							}
+						]
+					},
+					{
+						"code": "42386007",
+						"display": "Cryptococcosis (disorder)  ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cryptococcosis"
+							}
+						]
+					},
+					{
+						"code": "240370009",
+						"display": "Cryptosporidiosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cryptosporidiosis"
+							}
+						]
+					},
+					{
+						"code": "240372001",
+						"display": "Cyclosporiasis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cyclosporiasis"
+							}
+						]
+					},
+					{
+						"code": "59051007",
+						"display": "Cysticercosis (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cysticercosis"
+							}
+						]
+					},
+					{
+						"code": "38362002",
+						"display": "Dengue (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Dengue Virus Infection"
+							}
+						]
+					},
+					{
+						"code": "276197005",
+						"display": "Infection caused by Corynebacterium diphtheriae (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Diphtheria"
+							}
+						]
+					},
+					{
+						"code": "212962007",
+						"display": "Drowning and non-fatal immersion (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Drowning and Submersion"
+							}
+						]
+					},
+					{
+						"code": "1149222004",
+						"display": "Overdose (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Drug Overdose and Poisoning, Non-opioid"
+							}
+						]
+					},
+					{
+						"code": "416925005",
+						"display": "Eastern equine encephalitis virus infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Eastern equine encephalitis virus disease"
+							}
+						]
+					},
+					{
+						"code": "240626005",
+						"display": "Human ehrlichiosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Ehrlichiosis"
+							}
+						]
+					},
+					{
+						"code": "45170000",
+						"display": "Encephalitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Encephalitis"
+							}
+						]
+					},
+					{
+						"code": "18690003",
+						"display": "Farmers' lung (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Farmer's Lung"
+							}
+						]
+					},
+					{
+						"code": "58265007",
+						"display": "Giardiasis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Giardiasis"
+							}
+						]
+					},
+					{
+						"code": "4639008",
+						"display": "Glanders (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Glanders"
+							}
+						]
+					},
+					{
+						"code": "15628003",
+						"display": "Gonorrhea (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Gonorrhea"
+							}
+						]
+					},
+					{
+						"code": "28867007",
+						"display": "Granuloma inguinale (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Granuloma Inguinale (Donovanosis)"
+							}
+						]
+					},
+					{
+						"code": "40956001",
+						"display": "Guillain-Barré syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Guillain-Barré Syndrome"
+							}
+						]
+					},
+					{
+						"code": "283545005",
+						"display": "Gunshot wound (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Gunshot Wound"
+							}
+						]
+					},
+					{
+						"code": "81004002",
+						"display": "Leprosy (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hansen's disease"
+							}
+						]
+					},
+					{
+						"code": "359761005",
+						"display": "Disease caused by Hantavirus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hantavirus Infection"
+							}
+						]
+					},
+					{
+						"code": "82271004",
+						"display": "Injury of head (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Head Injury"
+							}
+						]
+					},
+					{
+						"code": "111407006",
+						"display": "Hemolytic uremic syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hemolytic uremic syndrome (HUS)"
+							}
+						]
+					},
+					{
+						"code": "40468003",
+						"display": "Viral hepatitis, type A (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hepatitis A Virus infection"
+							}
+						]
+					},
+					{
+						"code": "66071002",
+						"display": "Viral hepatitis type B (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hepatitis B Virus Infection"
+							}
+						]
+					},
+					{
+						"code": "60498001",
+						"display": "Congenital viral hepatitis B infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hepatitis B Virus Infection, Perinatal"
+							}
+						]
+					},
+					{
+						"code": "50711007",
+						"display": "Viral hepatitis type C (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hepatitis C Virus Infection"
+							}
+						]
+					},
+					{
+						"code": "7111000119109",
+						"display": "Viral hepatitis type E (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hepatitis E Virus infection"
+							}
+						]
+					},
+					{
+						"code": "397575003",
+						"display": "Viral hepatitis, type G (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hepatitis G Virus Infection"
+							}
+						]
+					},
+					{
+						"code": "33839006",
+						"display": "Genital herpes simplex (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Herpes, Genital"
+							}
+						]
+					},
+					{
+						"code": "91576008",
+						"display": "Congenital herpes simplex (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Herpes, Neonatal"
+							}
+						]
+					},
+					{
+						"code": "12962009",
+						"display": "Histoplasmosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Histoplasmosis"
+							}
+						]
+					},
+					{
+						"code": "86406008",
+						"display": "Human immunodeficiency virus infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "HIV Infection or AIDS"
+							}
+						]
+					},
+					{
+						"code": "719590007",
+						"display": "Influenza caused by seasonal influenza virus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Influenza-Associated Hospitalizations"
+							}
+						]
+					},
+					{
+						"code": "6142004",
+						"display": "Influenza (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Influenza-associated pediatric mortality"
+							}
+						]
+					},
+					{
+						"code": "95891005",
+						"display": "Influenza-like illness (finding)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Influenza-like Illness (ILI)"
+							}
+						]
+					},
+					{
+						"code": "406583002",
+						"display": "Invasive Haemophilus influenzae disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Invasive Haemophilus Influenzae Disease"
+							}
+						]
+					},
+					{
+						"code": "406617004",
+						"display": "Invasive Streptococcus pneumoniae disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Invasive Pneumococcal Disease"
+							}
+						]
+					},
+					{
+						"code": "52947006",
+						"display": "Japanese encephalitis virus disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Japanese encephalitis virus disease"
+							}
+						]
+					},
+					{
+						"code": "75053002",
+						"display": "Acute febrile mucocutaneous lymph node syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Kawasaki Disease"
+							}
+						]
+					},
+					{
+						"code": "407152001",
+						"display": "Increased blood lead level (finding)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Lead in Blood"
+							}
+						]
+					},
+					{
+						"code": "26726000",
+						"display": "Legionella infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Legionellosis"
+							}
+						]
+					},
+					{
+						"code": "80612004",
+						"display": "Leishmaniasis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Leishmaniasis"
+							}
+						]
+					},
+					{
+						"code": "77377001",
+						"display": "Leptospirosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Leptospirosis"
+							}
+						]
+					},
+					{
+						"code": "4241002",
+						"display": "Listeriosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Listeriosis"
+							}
+						]
+					},
+					{
+						"code": "14683004",
+						"display": "Louse-borne relapsing fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Louse-borne relapsing fever (LBRF)"
+							}
+						]
+					},
+					{
+						"code": "23502006",
+						"display": "Lyme disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Lyme disease"
+							}
+						]
+					},
+					{
+						"code": "240820001",
+						"display": "Lymphatic filariasis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Lymphatic Filariasis"
+							}
+						]
+					},
+					{
+						"code": "61462000",
+						"display": "Malaria (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Malaria"
+							}
+						]
+					},
+					{
+						"code": "14189004",
+						"display": "Measles (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Measles"
+							}
+						]
+					},
+					{
+						"code": "428111003",
+						"display": "Melioidosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Melioidosis"
+							}
+						]
+					},
+					{
+						"code": "7180009",
+						"display": "Meningitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Meningitis"
+							}
+						]
+					},
+					{
+						"code": "23511006",
+						"display": "Meningococcal infectious disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Meningococcal disease"
+							}
+						]
+					},
+					{
+						"code": "767299002",
+						"display": "Toxic effect of mercury and its compounds (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Mercury Exposure and Toxicity"
+							}
+						]
+					},
+					{
+						"code": "651000146102",
+						"display": "Middle East respiratory syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Middle East Respiratory Syndrome (MERS)"
+							}
+						]
+					},
+					{
+						"code": "359814004",
+						"display": "Monkeypox (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Mpox"
+							}
+						]
+					},
+					{
+						"code": "407153006",
+						"display": "Injury due to motor vehicle accident (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Motor Vehicle Injury"
+							}
+						]
+					},
+					{
+						"code": "895448002",
+						"display": "Multisystem inflammatory syndrome in children (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Multisystem Inflammatory Syndrome in Children (MIS-C)"
+							}
+						]
+					},
+					{
+						"code": "36989005",
+						"display": "Mumps (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Mumps"
+							}
+						]
+					},
+					{
+						"code": "428175000",
+						"display": "Primary amebic encephalitis caused by Naegleria fowleri (disorder)  ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Naegleria fowleri Primary Amebic Meningoencephalitis"
+							}
+						]
+					},
+					{
+						"code": "406597005",
+						"display": "Infection caused by Nipah virus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Nipah Virus Infection"
+							}
+						]
+					},
+					{
+						"code": "83436008",
+						"display": "Yersiniosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Non-pestis Yersiniosis"
+							}
+						]
+					},
+					{
+						"code": "53648006",
+						"display": "Disease caused by Enterovirus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Non-Polio Enterovirus Infection"
+							}
+						]
+					},
+					{
+						"code": "18504008",
+						"display": "Toxic shock syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Non-Streptococcal Toxic Shock Syndrome"
+							}
+						]
+					},
+					{
+						"code": "111811007",
+						"display": "Mycobacterial infection (excluding tuberculosis AND leprosy) (disorder)  ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Nontuberculous Mycobacteria Infection, Extrapulmonary"
+							}
+						]
+					},
+					{
+						"code": "1731000119106",
+						"display": "Atypical mycobacterial infection of lung (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Nontuberculous Mycobacteria Infection, Pulmonary"
+							}
+						]
+					},
+					{
+						"code": "721763002",
+						"display": "Infection caused by Norovirus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Norovirus Infections"
+							}
+						]
+					},
+					{
+						"code": "541131000124102",
+						"display": "Infection caused by novel Influenza A virus variant (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Novel Influenza A Virus Infection"
+							}
+						]
+					},
+					{
+						"code": "34298002",
+						"display": "Neonatal conjunctivitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Ophthalmia Neonatorum"
+							}
+						]
+					},
+					{
+						"code": "242253008",
+						"display": "Overdose of opiate (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Opioid Overdose and Poisoning"
+							}
+						]
+					},
+					{
+						"code": "414015000",
+						"display": "Disease caused by Orthopoxvirus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Orthopoxvirus Disease"
+							}
+						]
+					},
+					{
+						"code": "49049000",
+						"display": "Parkinson's disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Parkinson's disease"
+							}
+						]
+					},
+					{
+						"code": "27836007",
+						"display": "Pertussis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Pertussis"
+							}
+						]
+					},
+					{
+						"code": "37131007",
+						"display": "Pesticide poisoning (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Pesticide Related Illness or injury"
+							}
+						]
+					},
+					{
+						"code": "58750007",
+						"display": "Plague (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Plague"
+							}
+						]
+					},
+					{
+						"code": "398102009",
+						"display": "Acute poliomyelitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Poliovirus Infection"
+							}
+						]
+					},
+					{
+						"code": "416707008",
+						"display": "Powassan encephalitis virus infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Powassan virus disease"
+							}
+						]
+					},
+					{
+						"code": "75116005",
+						"display": "Ornithosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Psittacosis"
+							}
+						]
+					},
+					{
+						"code": "186788009",
+						"display": "Q fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Q fever"
+							}
+						]
+					},
+					{
+						"code": "14168008",
+						"display": "Rabies (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Rabies (Human)"
+							}
+						]
+					},
+					{
+						"code": "55735004",
+						"display": "Respiratory syncytial virus infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Respiratory Syncytial Virus (RSV)-Associated Mortality"
+							}
+						]
+					},
+					{
+						"code": "74351001",
+						"display": "Reye's Syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Reye's Syndrome"
+							}
+						]
+					},
+					{
+						"code": "58718002",
+						"display": "Rheumatic fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Rheumatic Fever"
+							}
+						]
+					},
+					{
+						"code": "409617000",
+						"display": "Ricin poisoning (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Ricin Poisoning "
+							}
+						]
+					},
+					{
+						"code": "18624000",
+						"display": "Disease caused by Rotavirus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Rotavirus Disease"
+							}
+						]
+					},
+					{
+						"code": "36653000",
+						"display": "Rubella (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Rubella"
+							}
+						]
+					},
+					{
+						"code": "85904008",
+						"display": "Paratyphoid fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "S. Paratyphi Infection"
+							}
+						]
+					},
+					{
+						"code": "4834000",
+						"display": "Typhoid fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "S. Typhi Infection"
+							}
+						]
+					},
+					{
+						"code": "302231008",
+						"display": "Salmonella infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Salmonellosis"
+							}
+						]
+					},
+					{
+						"code": "128869009",
+						"display": "Infestation caused by Sarcoptes scabiei var hominis (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Scabies"
+							}
+						]
+					},
+					{
+						"code": "269275003",
+						"display": "Seafood causing toxic effect (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Seafood Poisoning"
+							}
+						]
+					},
+					{
+						"code": "398447004",
+						"display": "Severe acute respiratory syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Severe Acute Respiratory Syndrome (SARS)"
+							}
+						]
+					},
+					{
+						"code": "36188001",
+						"display": "Shigellosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Shigellosis"
+							}
+						]
+					},
+					{
+						"code": "805002",
+						"display": "Pneumoconiosis caused by silica (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Silicosis or pneumoconiosis due to dust containing silica"
+							}
+						]
+					},
+					{
+						"code": "67924001",
+						"display": "Smallpox (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Smallpox"
+							}
+						]
+					},
+					{
+						"code": "186771002",
+						"display": "Spotted fever group rickettsial disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Spotted Fever Rickettsiosis"
+							}
+						]
+					},
+					{
+						"code": "417192005",
+						"display": "Saint Louis encephalitis virus infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "St. Louis Encephalitis Virus Infection"
+							}
+						]
+					},
+					{
+						"code": "419488004",
+						"display": "Staphylococcus aureus enterotoxin B (substance) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Staphylococcal Enterotoxin B Poisoning"
+							}
+						]
+					},
+					{
+						"code": "406602003",
+						"display": "Infection caused by Staphylococcus aureus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Staphylococcus aureus Infection"
+							}
+						]
+					},
+					{
+						"code": "328291000119103",
+						"display": "Infection caused by Shiga toxin producing Escherichia coli (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Shiga toxin-producing Escherichia coli (STEC) infection"
+							}
+						]
+					},
+					{
+						"code": "406614006",
+						"display": "Invasive Group A beta-hemolytic streptococcal disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Streptococcal disease, invasive, Group A"
+							}
+						]
+					},
+					{
+						"code": "240451000",
+						"display": "Streptococcal toxic shock syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Streptococcal Toxic Shock Syndrome"
+							}
+						]
+					},
+					{
+						"code": "44301001",
+						"display": "Suicide (event)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Suicide"
+							}
+						]
+					},
+					{
+						"code": "433202001",
+						"display": "Surgical site infection (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Surgical Site Infection (SSI)"
+							}
+						]
+					},
+					{
+						"code": "76272004",
+						"display": "Syphilis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Syphilis"
+							}
+						]
+					},
+					{
+						"code": "35742006",
+						"display": "Congenital syphilis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Syphilis, Congenital"
+							}
+						]
+					},
+					{
+						"code": "76172008",
+						"display": "Infection caused by Taenia (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Taeniasis"
+							}
+						]
+					},
+					{
+						"code": "76902006",
+						"display": "Tetanus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Tetanus"
+							}
+						]
+					},
+					{
+						"code": "10301003",
+						"display": "Tick-borne relapsing fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Tickborne relapsing fever (TBRF)"
+							}
+						]
+					},
+					{
+						"code": "187192000",
+						"display": "Toxoplasmosis (disorder) ",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Toxoplasmosis"
+							}
+						]
+					},
+					{
+						"code": "709018004",
+						"display": "Infection caused by larvae of Trichinella (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Trichinellosis"
+							}
+						]
+					},
+					{
+						"code": "56717001",
+						"display": "Tuberculosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Tuberculosis"
+							}
+						]
+					},
+					{
+						"code": "11999007",
+						"display": "Inactive tuberculosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Tuberculosis, Latent Infection (LTBI)"
+							}
+						]
+					},
+					{
+						"code": "19265001",
+						"display": "Tularemia (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Tularemia"
+							}
+						]
+					},
+					{
+						"code": "240613006",
+						"display": "Typhus group rickettsial disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Typhus Fever"
+							}
+						]
+					},
+					{
+						"code": "293104008",
+						"display": "Adverse reaction to component of vaccine product (disord",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Vaccine Adverse Event"
+							}
+						]
+					},
+					{
+						"code": "409636005",
+						"display": "Complication of smallpox vaccination (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Vaccinia Disease or Adverse Event"
+							}
+						]
+					},
+					{
+						"code": "406604002",
+						"display": "Infection caused by vancomycin intermediate Staphylococcus aureus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Vancomycin-intermediate Staphylococcus aureus (VISA)"
+							}
+						]
+					},
+					{
+						"code": "406575008",
+						"display": "Infection caused by vancomycin resistant enterococcus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Vancomycin-resistant Enterococci (VRE) Infection"
+							}
+						]
+					},
+					{
+						"code": "404681006",
+						"display": "Infection caused by vancomycin resistant Staphylococcus aureus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Vancomycin-resistant Staphylococcus aureus (VRSA)"
+							}
+						]
+					},
+					{
+						"code": "38907003",
+						"display": "Varicella (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Varicella"
+							}
+						]
+					},
+					{
+						"code": "71695001",
+						"display": "Complication of ventilation therapy (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Ventilator-associated Event (VAE)"
+							}
+						]
+					},
+					{
+						"code": "36921006",
+						"display": "Vesicular stomatitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Vesicular Stomatitis"
+							}
+						]
+					},
+					{
+						"code": "398557001",
+						"display": "Infection caused by non-cholerae vibrio (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Vibriosis"
+							}
+						]
+					},
+					{
+						"code": "240523007",
+						"display": "Viral hemorrhagic fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Viral Hemorrhagic Fever (VHF)"
+							}
+						]
+					},
+					{
+						"code": "417093003",
+						"display": "Disease caused by West Nile virus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "West Nile Virus Infection"
+							}
+						]
+					},
+					{
+						"code": "47523006",
+						"display": "Western equine encephalitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Western equine encephalitis virus disease"
+							}
+						]
+					},
+					{
+						"code": "57607007",
+						"display": "Occupational asthma (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Work-related Asthma (WRA)"
+							}
+						]
+					},
+					{
+						"code": "16541001",
+						"display": "Yellow fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Yellow fever"
+							}
+						]
+					},
+					{
+						"code": "3928002",
+						"display": "Zika virus disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Zika Virus Disease"
+							}
+						]
+					},
+					{
+						"code": "89369001",
+						"display": "Anencephalus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Anencephaly"
+							}
+						]
+					},
+					{
+						"code": "61750000",
+						"display": "Infection caused by Angiostrongylus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Angiostrongyliasis"
+							}
+						]
+					},
+					{
+						"code": "266123003",
+						"display": "Bartonellosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Bartonellosis"
+							}
+						]
+					},
+					{
+						"code": "93614002",
+						"display": "Infection caused by Baylisascaris procyonis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Baylisascariasis"
+							}
+						]
+					},
+					{
+						"code": "80281008",
+						"display": "Cleft lip (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cleft Lip Alone"
+							}
+						]
+					},
+					{
+						"code": "87979003",
+						"display": "Cleft palate (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cleft Palate Alone"
+							}
+						]
+					},
+					{
+						"code": "66948001",
+						"display": "Cleft palate with cleft lip (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cleft Lip with Cleft Palate"
+							}
+						]
+					},
+					{
+						"code": "41439009",
+						"display": "Microcystis flos-aquae poisoning (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Cyanobacteria And Cyanotoxin Poisoning"
+							}
+						]
+					},
+					{
+						"code": "187151009",
+						"display": "Diphyllobothriasis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Diphyllobothriasis"
+							}
+						]
+					},
+					{
+						"code": "41040004",
+						"display": "Complete trisomy 21 syndrome (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Down Syndrome"
+							}
+						]
+					},
+					{
+						"code": "74942003",
+						"display": "Echinococcosis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Echinococcosis"
+							}
+						]
+					},
+					{
+						"code": "72951007",
+						"display": "Gastroschisis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Gastroschisis"
+							}
+						]
+					},
+					{
+						"code": "266113007",
+						"display": "Genital warts (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Genital Warts"
+							}
+						]
+					},
+					{
+						"code": "551611000124101",
+						"display": "Perinatal hepatitis caused by Hepatitis C virus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hepatitis C Virus Infection, Perinatal"
+							}
+						]
+					},
+					{
+						"code": "707341005",
+						"display": "Viral hepatitis type D (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Hepatitis D Virus Infection"
+							}
+						]
+					},
+					{
+						"code": "20484008",
+						"display": "Prion disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Prion Disease (Human)"
+							}
+						]
+					},
+					{
+						"code": "95821001",
+						"display": "Neonatal hearing loss (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Infant Hearing Loss"
+							}
+						]
+					},
+					{
+						"code": "725894000",
+						"display": "Influenza virus (organism)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Influenza-Associated Mortality"
+							}
+						]
+					},
+					{
+						"code": "41723001",
+						"display": "Jamestown Canyon virus disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Jamestown Canyon virus disease"
+							}
+						]
+					},
+					{
+						"code": "404237007",
+						"display": "Keystone virus encephalitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Keystone virus disease"
+							}
+						]
+					},
+					{
+						"code": "61094002",
+						"display": "La Crosse encephalitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "La Crosse virus disease"
+							}
+						]
+					},
+					{
+						"code": "67341007",
+						"display": "Longitudinal deficiency of limb (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Limb Reduction"
+							}
+						]
+					},
+					{
+						"code": "721781004",
+						"display": "Infection caused by Lymphocytic choriomeningitis virus (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Lymphocytic Choriomeningitis"
+							}
+						]
+					},
+					{
+						"code": "38959009",
+						"display": "Methemoglobinemia (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Methemoglobinemia"
+							}
+						]
+					},
+					{
+						"code": "1119306006",
+						"display": "Multisystem inflammatory syndrome in adults (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Multisystem Inflammatory Syndrome in Adults (MIS-A)"
+							}
+						]
+					},
+					{
+						"code": "84619001",
+						"display": "Nongonococcal urethritis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Nongonococcal Urethritis"
+							}
+						]
+					},
+					{
+						"code": "198130006",
+						"display": "Female pelvic inflammatory disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Pelvic Inflammatory Disease"
+							}
+						]
+					},
+					{
+						"code": "190687004",
+						"display": "Phenylketonuria (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Phenylketonuria"
+							}
+						]
+					},
+					{
+						"code": "190268003",
+						"display": "Congenital hypothyroidism (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Primary Congenital Hypothyroidism"
+							}
+						]
+					},
+					{
+						"code": "404236003",
+						"display": "Snowshoe hare virus encephalitis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Snowshoe hare virus disease"
+							}
+						]
+					},
+					{
+						"code": "67531005",
+						"display": "Spina bifida (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Spina Bifida"
+							}
+						]
+					},
+					{
+						"code": "406612005",
+						"display": "Invasive Group B beta-hemolytic streptococcal disease (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Streptococcal disease, invasive, Group B"
+							}
+						]
+					},
+					{
+						"code": "1214006",
+						"display": "Infection caused by Strongyloides (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Strongyloidiasis"
+							}
+						]
+					},
+					{
+						"code": "74225001",
+						"display": "Tick paralysis (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Tick Paralysis"
+							}
+						]
+					},
+					{
+						"code": "240507007",
+						"display": "Trivittatus fever (disorder)",
+						"designation": [
+							{
+								"use": {
+									"system": "http://snomed.info/sct",
+									"code": "synonym",
+									"display": "Synonym"
+								},
+								"value": "Trivittatus virus disease"
+							}
+						]
+					}
+				]
+			}
+		]
+	}
+}