{
  "resourceType" : "ConceptMap",
  "id" : "mii-cm-onko-atc-transitions-2024",
  "meta" : {
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        "url" : "packageId",
        "valueId" : "de.medizininformatikinitiative.kerndatensatz.onkologie"
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        "valueString" : "2027.0.0-ballot.1"
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  "language" : "de",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"de\" lang=\"de\"><hr/><p><b>German</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap mii-cm-onko-atc-transitions-2024</b></p><a name=\"de-mii-cm-onko-atc-transitions-2024\"> </a><a name=\"de-hcmii-cm-onko-atc-transitions-2024\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profiles: <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-shareableconceptmap.html\">CRMI Shareable ConceptMap</a>, <a href=\"http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-publishableconceptmap.html\">CRMI Publishable ConceptMap</a></p></div><p>Mapping from <a href=\"ValueSet-mii-vs-onko-systemische-therapie-substanzen-2023.html\">MII VS Onkologie Systemische Therapie Substanzen ATC 2023</a> to <a href=\"ValueSet-mii-vs-onko-systemische-therapie-substanzen-2024.html\">MII VS Onkologie Systemische Therapie Substanzen ATC 2024</a></p><br/><p>Mapping from <code>http://fhir.de/CodeSystem/bfarm/atc</code> (Atc) to <code>http://fhir.de/CodeSystem/bfarm/atc</code> (Atc)</p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>L04AA34 (Alemtuzumab)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AG06 (Alemtuzumab)</td><td>Reklassifizierung innerhalb der Immunsuppressiva</td></tr><tr><td>L04AA26 (Belimumab)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AG04 (Belimumab)</td><td/></tr><tr><td>L04AA25 (Eculizumab)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AJ01 (Eculizumab)</td><td>Reklassifizierung zu Komplement-Inhibitoren</td></tr><tr><td>L04AA21 (Efalizumab)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AG02 (Efalizumab)</td><td/></tr><tr><td>L01EG02 (Everolimus)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AH02 (Everolimus)</td><td>Zusätzliche Klassifizierung als Immunsuppressivum (behält auch L01EG02)</td></tr><tr><td>L04AA27 (Fingolimod)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AE01 (Fingolimod)</td><td>Reklassifizierung zu Sphingosin-1-Phosphat-Rezeptor-Modulatoren</td></tr><tr><td>L04AA13 (Leflunomid)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AK01 (Leflunomid)</td><td/></tr><tr><td>L01FX24 (Mosunetuzumab)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L01FX25 (Mosunetuzumab)</td><td>Code-Anpassung innerhalb der bispezifischen Antikörper</td></tr><tr><td>L04AA02 (Muromonab-CD3)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AG01 (Muromonab-CD3)</td><td/></tr><tr><td>L04AA23 (Natalizumab)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AG03 (Natalizumab)</td><td/></tr><tr><td>L01XY03 (Nivolumab und Relatlimab)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L01FY02 (Nivolumab und Relatlimab)</td><td>Reklassifizierung zu Kombinationen monoklonaler Antikörper</td></tr><tr><td>L01FA02 (Ofatumumab)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AG12 (Ofatumumab)</td><td>Zusätzliche Klassifizierung als Immunsuppressivum (behält auch L01FA02)</td></tr><tr><td>L01XY02 (Pertuzumab und Trastuzumab)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L01FY01 (Pertuzumab und Trastuzumab)</td><td>Reklassifizierung zu Kombinationen monoklonaler Antikörper</td></tr><tr><td>L04AA10 (Sirolimus)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L04AH01 (Sirolimus)</td><td>Reklassifizierung zu mTOR-Inhibitoren (Immunsuppressiva)</td></tr></table></div>"
  },
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  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
    "valueCode" : "publishable"
  },
  {
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    "valueCodeableConcept" : {
      "coding" : [{
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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" : {
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  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-author",
    "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" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
      }]
    }
  },
  {
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    "valueContactDetail" : {
      "name" : "National Steering Committee",
      "telecom" : [{
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        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
      }]
    }
  },
  {
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    "valueContactDetail" : {
      "name" : "Interoperability Working Group",
      "telecom" : [{
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        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
      }]
    }
  },
  {
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    "valueContactDetail" : {
      "name" : "National Steering Committee",
      "telecom" : [{
        "system" : "url",
        "value" : "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
    "valueCoding" : {
      "system" : "http://hl7.org/fhir/version-algorithm",
      "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)"
      }]
    }]
  }]
}