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Referanse til andre valuesets skal være i ValueSet.compose.include.valueSet. Eksempel burde https://git.sarepta.ehelse.no/utvikling/FHIR/blob/master/kikj/ValueSet/kikj-Severity.valueset.xml bli skrevet om til

<?xml version="1.0" encoding="utf-8"?>
<ValueSet xmlns="http://hl7.org/fhir">
  <id value="kikj-Severity.valueset" />
  <url value="http://ehelse.no/fhir/ValueSet/kikj-Severity" />
  <version value="0.6" />
  <name value="kikj-severity" />
  <status value="draft" />
  <experimental value="true" />
  <publisher value="Direktoratet for e-helse" />
  <immutable value="false" />
  <compose>
    <include>
      <system value="http://hl7.org/fhir/reaction-event-severity" />
      <concept>
        <code value="mild" />
      </concept>
      <concept>
        <code value="severe" />
      </concept>
      <valueSet value="http://hl7.org/fhir/ValueSet/reaction-event-severity" />
    </include>
  </compose>
</ValueSet>