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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="evidenceSSPD" />
  <url value="https://demis.rki.de/fhir/ValueSet/evidenceSSPD" />
  <version value="1.3.4" />
  <name value="EvidenceSSPD" />
  <title value="Symptome und Manifestationen in Bezug auf den Meldetatbestand &quot;Subakute sklerosierende Panenzephalitis (SSPE)&quot;" />
  <status value="active" />
  <experimental value="false" />
  <date value="2025-02-20" />
  <publisher value="Robert Koch-Institut" />
  <description value="Das ValueSet EvidenceSSPD enthält die kodierten Angaben zu Symptomen und Manifestationen in Bezug auf den Meldetatbestand &quot;Subakute sklerosierende Panenzephalitis (SSPE)&quot;." />
  <copyright value="This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO.&#xD;&#xA;&#xD;&#xA;Dieses Material enthält SNOMED Clinical Terms® (SNOMED CT®), die mit Genehmigung der International Health Terminology Standards Development Organisation (IHTSDO) verwendet werden. Alle Rechte vorbehalten. SNOMED CT® wurde ursprünglich vom College of American Pathologists entwickelt. &quot;SNOMED&quot; und &quot;SNOMED CT&quot; sind eingetragene Warenzeichen der IHTSDO.&#xD;&#xA;&#xD;&#xA;Downloadbedingungen für SNOMED-CT&#xD;&#xA;&#xD;&#xA;Enthält durch SNOMED International urheberrechtlich geschützte Information. Jede Verwendung von SNOMED CT in Deutschland erfordert eine vollgültige Affiliate Lizenz oder eine Sublizenz. Die entsprechende Lizenz ist kostenlos, vorausgesetzt die Verwendung findet nur in Deutschland statt und erfüllt die Bedingungen des Affiliate License Agreements. Affiliate Lizenzen können über das Mitglieder-Lizenzierungs- und Distributions-Service (MLDS) direkt beim jeweiligen NRC beantragt werden. https://mlds.ihtsdotools.org/#/landing/DE?lang=de&#xD;&#xA;&#xD;&#xA;Contains information protected by copyright of SNOMED International. Any use of SNOMED CT in Austria requires a valid affiliate license or sublicense. The corresponding license is free of charge, provided that the use only takes place in Austria and fulfills the conditions of the Affiliate License Agreement. Affiliate licenses can be requested directly from the respective NRC via the Member Licensing and Distribution Service (MLDS). ttps://mlds.ihtsdotools.org/#/landing/DE?lang=de" />
  <compose>
    <include>
      <system value="http://snomed.info/sct" />
      <version value="http://snomed.info/sct/11000274103/version/20241115" />
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="16" />
        </extension>
        <code value="102943000" />
        <display value="Persönlichkeitsveränderungen (z.B. Reizbarkeit)" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Personality change (finding)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="17" />
        </extension>
        <code value="17450006" />
        <display value="Myoklonien" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Myoclonus (finding)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="10" />
        </extension>
        <code value="20602000" />
        <display value="Teilnahmslosigkeit" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Indifference (finding)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="15" />
        </extension>
        <code value="224398005" />
        <display value="Rückgang der Leistungen in Ausbildung oder Beruf" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Restricted work performance (finding)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="23" />
        </extension>
        <code value="24473007" />
        <display value="Apallisches Syndrom" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Persistent vegetative state (disorder)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="14" />
        </extension>
        <code value="315245004" />
        <display value="Rückgang der Leistungen in Schule" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Deterioration in school performance (finding)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="19" />
        </extension>
        <code value="371632003" />
        <display value="Koma" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Coma (disorder)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="20" />
        </extension>
        <code value="386806002" />
        <display value="Kognitive Veränderungen (verstandesmäßige Veränderungen, z.B. Vergesslichkeit)" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Impaired cognition (finding)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="12" />
        </extension>
        <code value="397540003" />
        <display value="Sehstörung" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Visual impairment (disorder)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="21" />
        </extension>
        <code value="441781003:{418775008=1324000}{418775008=315149000}" />
        <display value="erhöhter IgG-Masern-Antikörper-Index (Liquor/Serum)" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="441781003 | Antibody titer above reference range (finding) | : {418775008 | Finding method (attribute) | = 315149000 | Measles immunoglobulin G level (procedure) |}, {418775008 | Finding method (attribute) | = 1324000 | Cerebrospinal fluid immunoglobulin G ratio and immunoglobulin G index (procedure) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="13" />
        </extension>
        <code value="441781003:{47429007=55347007}{47429007=315149000}" />
        <display value="sehr hoch intrathekale Gesamt-IgG-Synthese (Reiberschema)" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="441781003 | Antibody titer above reference range (finding) | : {47429007 | Associated with (attribute) | = 55347007 | Cerebrospinal fluid immunoglobulin G synthesis rate (procedure) |}, {47429007 | Associated with (attribute) | = 315149000 | Measles immunoglobulin G level (procedure) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="11" />
        </extension>
        <code value="441781003:{47429007=710476004}" />
        <display value="stark erhöhter Masern-IgG-Antikörpertiter im Serum" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="441781003 | Antibody titer above reference range (finding) | : {47429007 | Associated with (attribute) | = 710476004 | Immunoglobulin G antibody to Measles virus (substance) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="22" />
        </extension>
        <code value="52448006" />
        <display value="Demenz" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Dementia (disorder)" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="18" />
        </extension>
        <code value="91175000" />
        <display value="Krampfanfälle" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="900000000000003001" />
          </use>
          <value value="Seizure (finding)" />
        </designation>
      </concept>
    </include>
  </compose>
</ValueSet>

name : EvidenceSSPD

{

}

<name value="EvidenceSSPD" />