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    <status value="extensions"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><p class="res-header-id"><b>Generated Narrative: ValueSet mii-vs-seltene-symptom-change-status-combined</b></p><a name="de-mii-vs-seltene-symptom-change-status-combined"> </a><a name="de-hcmii-vs-seltene-symptom-change-status-combined"> </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-shareablevalueset.html">CRMI Shareable ValueSet</a>, <a href="http://hl7.org/fhir/uv/crmi/STU2/StructureDefinition-crmi-publishablevalueset.html">CRMI Publishable ValueSet</a></p></div><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href="CodeSystem-mii-cs-seltene-hpo-change-status.html"><code>https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-hpo-change-status</code></a><span title="Version is not explicitly stated, which means it is fixed to the version provided in this specification"> version &#x1F4E6;2027.0.0-ballot</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="CodeSystem-mii-cs-seltene-hpo-change-status.html#mii-cs-seltene-hpo-change-status-newly-added">newly-added</a></td><td>Neu hinzugefügt</td><td>Phänotyp wurde neu beobachtet/diagnostiziert</td></tr><tr><td><a href="CodeSystem-mii-cs-seltene-hpo-change-status.html#mii-cs-seltene-hpo-change-status-improved">improved</a></td><td>Verbessert</td><td>Phänotyp hat sich verbessert</td></tr><tr><td><a href="CodeSystem-mii-cs-seltene-hpo-change-status.html#mii-cs-seltene-hpo-change-status-degraded">degraded</a></td><td>Verschlechtert</td><td>Phänotyp hat sich verschlechtert</td></tr><tr><td><a href="CodeSystem-mii-cs-seltene-hpo-change-status.html#mii-cs-seltene-hpo-change-status-no-longer-observed">no-longer-observed</a></td><td>Nicht mehr beobachtet</td><td>Phänotyp wird nicht mehr beobachtet/ist verschwunden</td></tr><tr><td><a href="CodeSystem-mii-cs-seltene-hpo-change-status.html#mii-cs-seltene-hpo-change-status-unchanged">unchanged</a></td><td>Unverändert</td><td>Phänotyp ist unverändert geblieben</td></tr></table></li><li>Include these codes as defined in <a href="http://www.snomed.org/"><code>http://snomed.info/sct</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://snomed.info/id/385425000">385425000</a></td><td>Improved</td></tr><tr><td><a href="http://snomed.info/id/231877006">231877006</a></td><td>Worse</td></tr><tr><td><a href="http://snomed.info/id/385630006">385630006</a></td><td>Maintained</td></tr><tr><td><a href="http://snomed.info/id/2667000">2667000</a></td><td>Absent</td></tr><tr><td><a href="http://snomed.info/id/35105006">35105006</a></td><td>Increased</td></tr><tr><td><a href="http://snomed.info/id/1250004">1250004</a></td><td>Decreased</td></tr></table></li></ul></div>
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  <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/ValueSet/mii-vs-seltene-symptom-change-status-combined"/>
  <version value="2027.0.0-ballot"/>
  <name value="MII_VS_Seltene_Symptom_ChangeStatus_Combined"/>
  <title value="MII VS Seltene Erkrankungen Symptom Change Status (Combined)"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-09-14T21:59:44+00:00"/>
  <publisher value="Medizininformatik Initiative"/>
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    <name value="Medizininformatik Initiative"/>
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      <system value="url"/>
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  <description value="ValueSet zur Dokumentation von Änderungen bei Symptomen/Phänotypen über Zeit. Kombiniert MVGenomSeq-spezifische Codes mit SNOMED CT-Codes für internationale Interoperabilität."/>
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      <system value="https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-hpo-change-status"/>
      <concept>
        <code value="newly-added"/>
        <display value="Neu hinzugefügt"/>
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      <concept>
        <code value="improved"/>
        <display value="Verbessert"/>
      </concept>
      <concept>
        <code value="degraded"/>
        <display value="Verschlechtert"/>
      </concept>
      <concept>
        <code value="no-longer-observed"/>
        <display value="Nicht mehr beobachtet"/>
      </concept>
      <concept>
        <code value="unchanged"/>
        <display value="Unverändert"/>
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    <include>
      <system value="http://snomed.info/sct"/>
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        <display value="Absent"/>
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      <concept>
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