<ValueSet xmlns="http://hl7.org/fhir">
  <id value="answerSetInfectionPathHCVD" />
  <url value="https://demis.rki.de/fhir/ValueSet/answerSetInfectionPathHCVD" />
  <version value="1.3.4" />
  <name value="AnswerSetInfectionPathHCVD" />
  <title value="Antwortmöglichkeiten zur Angabe des Infektionswegs bei dem Meldetatbestand &quot;Hepatitis C&quot;" />
  <status value="active" />
  <experimental value="false" />
  <date value="2025-12-17" />
  <publisher value="Robert Koch-Institut" />
  <description value="Das ValueSet AnswerSetInfectionPathHCVD enthält die kodierten Antwortmöglichkeiten zur Angabe des Infektionswegs bei dem Meldetatbestand &quot;Hepatitis C&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/20251115" />
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="16" />
        </extension>
        <code value="409496000:{704326004=1288017002}" />
        <display value="Heterosexuelle Übertragung" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="409496000 | Mode of transmission (observable entity) | : { 704326004 | Precondition (attribute) | = 1288017002 | Heterosexual behavior (finding) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="10" />
        </extension>
        <code value="409496000:{704326004=224149009}{704326004=170489004}" />
        <display value="Wohngemeinschaft mit Virusträger/-in" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="409496000 | Mode of transmission (observable entity) | : {704326004 | Precondition (attribute) | = 170489004 | Viral hepatitis carrier (finding) |}, {704326004 | Precondition (attribute) | = 224149009 | Lives in a commune (finding) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="15" />
        </extension>
        <code value="409496000:{704326004=225531006}" />
        <display value="Homosexuelle Übertragung" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="409496000 | Mode of transmission (observable entity) | : { 704326004 | Precondition (attribute) | = 225531006 | Homosexual behavior (finding) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="11" />
        </extension>
        <code value="409496000:{704326004=341000119102}" />
        <display value="Tattoo" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="409496000 | Mode of transmission (observable entity) | : {704326004 | Precondition (attribute) | = 341000119102 | Tattoo of skin (finding) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="14" />
        </extension>
        <code value="409496000:{704326004=365984004}" />
        <display value="Intravenöser Drogenkonsum" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="409496000 | Mode of transmission (observable entity) | : {704326004 | Precondition (attribute) | = 365984004 | Finding of drug injection behavior (finding) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="13" />
        </extension>
        <code value="409496000:{704326004=408678008}" />
        <display value="Nosokomiale Übertragung" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="409496000 | Mode of transmission (observable entity) | : {704326004 | Precondition (attribute) | = 408678008 | Healthcare associated infectious disease (disorder) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="12" />
        </extension>
        <code value="409496000:{704326004=879862001}" />
        <display value="Piercing" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="409496000 | Mode of transmission (observable entity) | : {704326004 | Precondition (attribute) | = 879862001 | Body piercing (finding) |}" />
        </designation>
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="17" />
        </extension>
        <code value="409496000:{704326004=9632001}" />
        <display value="Berufliche Exposition mit Patienten/-innen, Material" />
        <designation>
          <language value="en-US" />
          <use>
            <system value="http://snomed.info/sct" />
            <code value="1119454002" />
          </use>
          <value value="409496000 | Mode of transmission (observable entity) | : {704326004 | Precondition (attribute) | = 9632001 | Nursing procedure (procedure) |}" />
        </designation>
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
      <version value="2.1.0" />
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="999" />
        </extension>
        <code value="ASKU" />
        <display value="asked but unknown" />
      </concept>
      <concept>
        <extension url="http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder">
          <valueInteger value="1000" />
        </extension>
        <code value="NASK" />
        <display value="not asked" />
      </concept>
    </include>
  </compose>
</ValueSet>