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{
  "resourceType": "ConceptMap",
  "id": "mii-cm-onko-atc-transitions-2024",
  "meta": {
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        "valueCode": "CC-BY-4.0"
      },
      {
        "extension": [
          {
            "url": "packageId",
            "valueId": "de.medizininformatikinitiative.kerndatensatz.onkologie"
          },
          {
            "url": "version",
            "valueString": "2027.0.0-ballot.1"
          },
          {
            "url": "uri",
            "valueUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko"
          }
        ],
        "url": "http://hl7.org/fhir/StructureDefinition/package-source"
      }
    ],
    "profile": [
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      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishableconceptmap"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
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      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "shareable"
    },
    {
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            "code": "package",
            "display": "Package"
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      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
      "valueDate": "2026-09-15"
    },
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      "valueCodeableConcept": {
        "coding": [
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          }
        ]
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      "valueContactDetail": {
        "telecom": [
          {
            "system": "email",
            "value": "thomas.debertshaeuser@charite.de"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-editor",
      "valueContactDetail": {
        "name": "Taskforce Core Data Set"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
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            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
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            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
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            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
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      "valueCoding": {
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        "code": "semver",
        "display": "SemVer"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2027"
      }
    }
  ],
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ConceptMap/mii-cm-onko-atc-transitions-2024",
  "version": "2027.0.0-ballot.1",
  "name": "MII_CM_Onko_ATC_Transitions_2024",
  "title": "MII CM Onko ATC Code Changes 2023 to 2024",
  "status": "active",
  "experimental": false,
  "date": "2024-12-12",
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "name": "Medizininformatik Initiative",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de/"
        }
      ]
    }
  ],
  "description": "Diese ConceptMap dokumentiert die ATC-Code-Änderungen von 2023 zu 2024. Mehrere immunmodulatorische Substanzen wurden in neue Kategorien umklassifiziert, und Kombinationspräparate erhielten neue Codes.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "DE",
          "display": "Germany"
        }
      ]
    }
  ],
  "purpose": "Migration von ATC-Codes für immunmodulatorische Substanzen und Kombinationspräparate, die 2024 umkodiert wurden.",
  "sourceCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-systemische-therapie-substanzen-2023",
  "targetCanonical": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/ValueSet/mii-vs-onko-systemische-therapie-substanzen-2024",
  "group": [
    {
      "source": "http://fhir.de/CodeSystem/bfarm/atc",
      "target": "http://fhir.de/CodeSystem/bfarm/atc",
      "element": [
        {
          "code": "L04AA34",
          "display": "Alemtuzumab",
          "target": [
            {
              "code": "L04AG06",
              "display": "Alemtuzumab",
              "equivalence": "equivalent",
              "comment": "Reklassifizierung innerhalb der Immunsuppressiva"
            }
          ]
        },
        {
          "code": "L04AA26",
          "display": "Belimumab",
          "target": [
            {
              "code": "L04AG04",
              "display": "Belimumab",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "L04AA25",
          "display": "Eculizumab",
          "target": [
            {
              "code": "L04AJ01",
              "display": "Eculizumab",
              "equivalence": "equivalent",
              "comment": "Reklassifizierung zu Komplement-Inhibitoren"
            }
          ]
        },
        {
          "code": "L04AA21",
          "display": "Efalizumab",
          "target": [
            {
              "code": "L04AG02",
              "display": "Efalizumab",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "L01EG02",
          "display": "Everolimus",
          "target": [
            {
              "code": "L04AH02",
              "display": "Everolimus",
              "equivalence": "equivalent",
              "comment": "Zusätzliche Klassifizierung als Immunsuppressivum (behält auch L01EG02)"
            }
          ]
        },
        {
          "code": "L04AA27",
          "display": "Fingolimod",
          "target": [
            {
              "code": "L04AE01",
              "display": "Fingolimod",
              "equivalence": "equivalent",
              "comment": "Reklassifizierung zu Sphingosin-1-Phosphat-Rezeptor-Modulatoren"
            }
          ]
        },
        {
          "code": "L04AA13",
          "display": "Leflunomid",
          "target": [
            {
              "code": "L04AK01",
              "display": "Leflunomid",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "L01FX24",
          "display": "Mosunetuzumab",
          "target": [
            {
              "code": "L01FX25",
              "display": "Mosunetuzumab",
              "equivalence": "equivalent",
              "comment": "Code-Anpassung innerhalb der bispezifischen Antikörper"
            }
          ]
        },
        {
          "code": "L04AA02",
          "display": "Muromonab-CD3",
          "target": [
            {
              "code": "L04AG01",
              "display": "Muromonab-CD3",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "L04AA23",
          "display": "Natalizumab",
          "target": [
            {
              "code": "L04AG03",
              "display": "Natalizumab",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "L01XY03",
          "display": "Nivolumab und Relatlimab",
          "target": [
            {
              "code": "L01FY02",
              "display": "Nivolumab und Relatlimab",
              "equivalence": "equivalent",
              "comment": "Reklassifizierung zu Kombinationen monoklonaler Antikörper"
            }
          ]
        },
        {
          "code": "L01FA02",
          "display": "Ofatumumab",
          "target": [
            {
              "code": "L04AG12",
              "display": "Ofatumumab",
              "equivalence": "equivalent",
              "comment": "Zusätzliche Klassifizierung als Immunsuppressivum (behält auch L01FA02)"
            }
          ]
        },
        {
          "code": "L01XY02",
          "display": "Pertuzumab und Trastuzumab",
          "target": [
            {
              "code": "L01FY01",
              "display": "Pertuzumab und Trastuzumab",
              "equivalence": "equivalent",
              "comment": "Reklassifizierung zu Kombinationen monoklonaler Antikörper"
            }
          ]
        },
        {
          "code": "L04AA10",
          "display": "Sirolimus",
          "target": [
            {
              "code": "L04AH01",
              "display": "Sirolimus",
              "equivalence": "equivalent",
              "comment": "Reklassifizierung zu mTOR-Inhibitoren (Immunsuppressiva)"
            }
          ]
        }
      ]
    }
  ]
}