{
  "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"
      } ]
    } ]
  },
  "_filename": "ValueSet-mii-vs-seltene-symptom-change-status-combined.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.seltene",
  "date": null,
  "publisher": "Medizininformatik Initiative",
  "name": "MII_VS_Seltene_Symptom_ChangeStatus_Combined",
  "type": null,
  "experimental": "false",
  "resourceType": "ValueSet",
  "title": "MII VS Seltene Erkrankungen Symptom Change Status (Combined)",
  "package_version": "2026.0.0",
  "status": "active",
  "id": "2bc7649f-fc85-4094-b9b2-2dc195f99dc5",
  "kind": null,
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/ValueSet/mii-vs-seltene-symptom-change-status-combined",
  "version": "2026.0.0",
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ]
}