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Source1

{
  "resourceType": "ValueSet",
  "id": "mii-vs-seltene-symptom-change-status-combined",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/ValueSet/mii-vs-seltene-symptom-change-status-combined",
  "version": "2026.0.0",
  "name": "MII_VS_Seltene_Symptom_ChangeStatus_Combined",
  "title": "MII VS Seltene Erkrankungen Symptom Change Status (Combined)",
  "status": "active",
  "experimental": false,
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description": "ValueSet zur Dokumentation von Änderungen bei Symptomen/Phänotypen über Zeit. Kombiniert MVGenomSeq-spezifische Codes mit SNOMED CT-Codes für internationale Interoperabilität.",
  "compose": {
    "include": [
      {
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-hpo-change-status",
        "concept": [
          {
            "code": "newly-added",
            "display": "Neu hinzugefügt"
          },
          {
            "code": "improved",
            "display": "Verbessert"
          },
          {
            "code": "degraded",
            "display": "Verschlechtert"
          },
          {
            "code": "no-longer-observed",
            "display": "Nicht mehr beobachtet"
          },
          {
            "code": "unchanged",
            "display": "Unverändert"
          }
        ]
      },
      {
        "system": "http://snomed.info/sct",
        "concept": [
          {
            "code": "385425000",
            "display": "Improved"
          },
          {
            "code": "231877006",
            "display": "Worse"
          },
          {
            "code": "385630006",
            "display": "Maintained"
          },
          {
            "code": "2667000",
            "display": "Absent"
          },
          {
            "code": "35105006",
            "display": "Increased"
          },
          {
            "code": "1250004",
            "display": "Decreased"
          }
        ]
      }
    ]
  }
}