{
  "resourceType" : "ConceptMap",
  "id" : "mii-cm-mtb-therapiestatusgrund-sct",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap mii-cm-mtb-therapiestatusgrund-sct</b></p><a name=\"mii-cm-mtb-therapiestatusgrund-sct\"> </a><a name=\"hcmii-cm-mtb-therapiestatusgrund-sct\"> </a><p>Mapping from <a href=\"ValueSet-mii-vs-mtb-therapiestatusgrund.html\">MII VS Therapiestatusgrund</a> to http://snomed.info/sct/900000000000207008/version/20250501</p><br/><p><b>Group 1 </b>Mapping from <a href=\"CodeSystem-mii-cs-mtb-therapiestatusgrund.html\">MII CS Therapiestatusgrund</a> to <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>payment-refused (Kostenübernahme abgelehnt)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>302179005 (Benefit application rejected (finding))</td></tr><tr><td>payment-pending (Kostenübernahme noch ausstehend)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>302178002 (Outcome of benefit application awaited (finding))</td></tr><tr><td>payment-ended (Ende der Kostenübernahme)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>224196001 (Benefits received (finding))</td></tr><tr><td>no-indication (Klinisch keine Indikation)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>71653005 (No indication of (contextual qualifier) (qualifier value))</td></tr><tr><td>medical-reasons (Medizinische Gründe)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>373788008 (Treatment delay - clinical reason (finding))</td></tr><tr><td>patient-refusal (Therapie durch Patient abgelehnt)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>413311005 (Patient non-compliant - declined intervention / support (situation))</td></tr><tr><td>patient-wish (Auf Wunsch des Patienten)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>1186606009 (Patient request observable (observable entity))</td></tr><tr><td>patient-death (Tod)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>419099009 (Dead (finding))</td></tr><tr><td>lost-to-fu (Lost to follow-up)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>399307001 (Lost to follow-up (finding))</td></tr><tr><td>chronic-remission (Anhaltende Remission)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>277022003 (Remission phase (qualifier value))</td></tr><tr><td>progression</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>419835002 (Tumor progression (finding))</td></tr><tr><td>toxicity (Toxizität)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>75478009 (Toxicity)</td></tr><tr><td>other-therapy-chosen (Wahl einer anderen Therapie durch Behandler)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>182868002 (Treatment stopped - alternative therapy undertaken (situation))</td></tr><tr><td>best-supportive-care</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>243114000 (Supportive care)</td></tr><tr><td>deterioration (Zustandsverschlechterung)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>285384003 (General health deterioration (finding))</td></tr><tr><td>regular-completion (Reguläres Ende)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>385656004 (Ended (qualifier value))</td></tr><tr><td>regular-completion-with-dosage-reduction (Reguläres Ende mit Dosisreduktion)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>182822000 (Reducing dose prescribed (situation))</td></tr><tr><td>regular-completion-with-substance-change (Reguläres Ende mit Substanzwechsel)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>417886001 (Treatment adjusted per protocol (situation))</td></tr><tr><td>other (Weitere Gründe)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>74964007 (Other (qualifier value))</td></tr><tr><td>unknown (Unbekannt)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>261665006 (Unknown (qualifier value))</td></tr></table></div>"
  },
  "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ConceptMap/mii-cm-mtb-therapiestatusgrund-sct",
  "version" : "2026.0.1",
  "name" : "MII CM MTB Therapiestatusgrund SNOMED CT Mapping",
  "title" : "MII CM MTB Therapiestatusgrund SNOMED CT Mapping",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-05-01",
  "publisher" : "Medizininformatik-Initiative",
  "contact" : [{
    "name" : "Medizininformatik-Initiative",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.medizininformatik-initiative.de"
    }]
  }],
  "description" : "Mapping der Codes zur Begründung des Therapiestatus nach SNOMED CT",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "276"
    }]
  }],
  "purpose" : "Technische Mappings zur Transformation der Therapiestatusgründe nach SNOMED CT",
  "sourceUri" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/ValueSet/mii-vs-mtb-therapiestatusgrund",
  "targetUri" : "http://snomed.info/sct/900000000000207008/version/20250501",
  "group" : [{
    "source" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-mtb/CodeSystem/mii-cs-mtb-therapiestatusgrund",
    "target" : "http://snomed.info/sct",
    "element" : [{
      "code" : "payment-refused",
      "display" : "Kostenübernahme abgelehnt",
      "target" : [{
        "code" : "302179005",
        "display" : "Benefit application rejected (finding)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "payment-pending",
      "display" : "Kostenübernahme noch ausstehend",
      "target" : [{
        "code" : "302178002",
        "display" : "Outcome of benefit application awaited (finding)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "payment-ended",
      "display" : "Ende der Kostenübernahme",
      "target" : [{
        "code" : "224196001",
        "display" : "Benefits received (finding)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "no-indication",
      "display" : "Klinisch keine Indikation",
      "target" : [{
        "code" : "71653005",
        "display" : "No indication of (contextual qualifier) (qualifier value)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "medical-reasons",
      "display" : "Medizinische Gründe",
      "target" : [{
        "code" : "373788008",
        "display" : "Treatment delay - clinical reason (finding)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "patient-refusal",
      "display" : "Therapie durch Patient abgelehnt",
      "target" : [{
        "code" : "413311005",
        "display" : "Patient non-compliant - declined intervention / support (situation)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "patient-wish",
      "display" : "Auf Wunsch des Patienten",
      "target" : [{
        "code" : "1186606009",
        "display" : "Patient request observable (observable entity)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "patient-death",
      "display" : "Tod",
      "target" : [{
        "code" : "419099009",
        "display" : "Dead (finding)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "lost-to-fu",
      "display" : "Lost to follow-up",
      "target" : [{
        "code" : "399307001",
        "display" : "Lost to follow-up (finding)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "chronic-remission",
      "display" : "Anhaltende Remission",
      "target" : [{
        "code" : "277022003",
        "display" : "Remission phase (qualifier value)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "progression",
      "display" : "Progression",
      "target" : [{
        "code" : "419835002",
        "display" : "Tumor progression (finding)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "toxicity",
      "display" : "Toxizität",
      "target" : [{
        "code" : "75478009",
        "display" : "Toxicity",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "other-therapy-chosen",
      "display" : "Wahl einer anderen Therapie durch Behandler",
      "target" : [{
        "code" : "182868002",
        "display" : "Treatment stopped - alternative therapy undertaken (situation)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "best-supportive-care",
      "display" : "Best Supportive Care",
      "target" : [{
        "code" : "243114000",
        "display" : "Supportive care",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "deterioration",
      "display" : "Zustandsverschlechterung",
      "target" : [{
        "code" : "285384003",
        "display" : "General health deterioration (finding)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "regular-completion",
      "display" : "Reguläres Ende",
      "target" : [{
        "code" : "385656004",
        "display" : "Ended (qualifier value)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "regular-completion-with-dosage-reduction",
      "display" : "Reguläres Ende mit Dosisreduktion",
      "target" : [{
        "code" : "182822000",
        "display" : "Reducing dose prescribed (situation)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "regular-completion-with-substance-change",
      "display" : "Reguläres Ende mit Substanzwechsel",
      "target" : [{
        "code" : "417886001",
        "display" : "Treatment adjusted per protocol (situation)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "other",
      "display" : "Weitere Gründe",
      "target" : [{
        "code" : "74964007",
        "display" : "Other (qualifier value)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "unknown",
      "display" : "Unbekannt",
      "target" : [{
        "code" : "261665006",
        "display" : "Unknown (qualifier value)",
        "equivalence" : "equivalent"
      }]
    }]
  }]
}