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Source1

{
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  "id": "mii-vs-seltene-symptom-change-status-combined",
  "meta": {
    "profile": [
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    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
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      "valueCode": "computable"
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            "code": "package",
            "display": "Package"
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    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
      "valueDate": "2026-09-02"
    },
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  ],
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  "version": "2027.0.0-ballot",
  "name": "MII_VS_Seltene_Symptom_ChangeStatus_Combined",
  "title": "MII VS Seltene Erkrankungen Symptom Change Status (Combined)",
  "status": "active",
  "experimental": false,
  "date": "2026-09-14T21:59:44+00:00",
  "publisher": "Medizininformatik Initiative",
  "_publisher": {
    "extension": [
      {
        "extension": [
          {
            "url": "lang",
            "valueCode": "de"
          },
          {
            "url": "content",
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        ],
        "url": "http://hl7.org/fhir/StructureDefinition/translation"
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    ]
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  "contact": [
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      "name": "Medizininformatik Initiative",
      "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.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "DE",
          "display": "Germany"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-hpo-change-status",
        "concept": [
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            "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"
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        ]
      },
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        "system": "http://snomed.info/sct",
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            "display": "Worse"
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          {
            "code": "2667000",
            "display": "Absent"
          },
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            "display": "Increased"
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          {
            "code": "1250004",
            "display": "Decreased"
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        ]
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}