- Created by Peter G. Williams, last modified on 2018-Oct-17
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Relevant Valuesets
Required value sets that are possibly in scope:
http://build.fhir.org/valueset-detectedissue-severity.html
http://build.fhir.org/valueset-allergy-clinical-status.html
http://build.fhir.org/valueset-allergy-verification-status.html
http://build.fhir.org/valueset-allergy-intolerance-type.html
http://build.fhir.org/valueset-allergy-intolerance-category.html
http://build.fhir.org/valueset-allergy-intolerance-criticality.html
http://build.fhir.org/valueset-reaction-event-severity.html
http://build.fhir.org/valueset-adverse-event-severity.html
http://build.fhir.org/valueset-adverse-event-outcome.html
http://build.fhir.org/valueset-condition-ver-status.html
http://build.fhir.org/valueset-condition-clinical.html
Update 28 September 2018 from Grahame Grieve
Additional candidates as discussed from the patient care space:
+ http://build.fhir.org/valueset-detectedissue-severity.html
+ http://build.fhir.org/valueset-request-priority.html
possible candidates out of other spaces:
genomics
http://build.fhir.org/valueset-sequence-type.html
http://build.fhir.org/valueset-orientation-type.html
http://build.fhir.org/valueset-strand-type.html
http://build.fhir.org/valueset-quality-type.html
http://build.fhir.org/valueset-repository-type.html
care planning
http://build.fhir.org/valueset-action-cardinality-behavior.html
http://build.fhir.org/valueset-action-precheck-behavior.html
http://build.fhir.org/valueset-action-required-behavior.html
http://build.fhir.org/valueset-action-selection-behavior.html
http://build.fhir.org/valueset-action-grouping-behavior.html
http://build.fhir.org/valueset-action-relationship-type.html
http://build.fhir.org/valueset-action-condition-kind.html
Detected Issue Severity - 3 concepts, mapped 2 Oct 2018
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
High | 24484000 |Severe (severity modifier) (qualifier value)| | These values are inherited from V3. "High" does exist but in a different hierarchy - 75540009 |High (qualifier value)| Severe does have a synonym of "High Grade" Should we flag up this apparent inconsistency? |
Moderate | 6736007 |Moderate (severity modifier) (qualifier value)| | |
Low | 255604002 |Mild (qualifier value)| |
Allergy Clinical Status - 3 values
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
Active | JR suggests new sub-hierarchy for SCT containing disease activity to align with 370996005 |Patient condition resolved (finding)| LB suggested use of << 394731006 |Problem statuses (qualifier value)| would need to add "Resolved". YG Notes that these are not in use and their use is not dictated by the MRCM. DK suggested use of << 36692007 |Known (qualifier value)| again "Resolved" would be required. | |
Inactive | ||
Resolved |
Allergy Verification Status
<< 106230009 |Qualifier for certainty of diagnosis (qualifier value)| doesn't have refuted
Better << 410514004 |Finding context value (qualifier value)|
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
Unconfirmed | 410590009 |Known possible (qualifier value)| | |
Confirmed | 410605003 |Confirmed present (qualifier value)| | |
Refuted | 410594000 |Definitely NOT present (qualifier value)| | Also considered 2667000 |Absent (qualifier value)| ? Doesn't really put over that a test was done and the absence of the allergy was proven. |
Entered in Error | Not Found | 723510000 |Entered in error (qualifier value)| is a 106232001 |Adjectival modifier (qualifier value)| ? |
Allergy Intolerance Type
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
Allergy | 609328004 |Allergic disposition (finding)| | |
Intolerance | Not Found - expected for 20190131 | 420134006 |Propensity to adverse reaction (finding)| ? |
Allergy Intolerance Category
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
food | 418471000|Propensity to adverse reactions to food (disorder)| or 414285001|Food allergy (disorder)| | |
medication | 419511003|Propensity to adverse reactions to drug (disorder)| or 416098002|Drug allergy (disorder)| | |
environment | Not Found | |
biologic | Not Found |
Adverse Event Severity - 3 concepts, mapped 2 Oct 2018
Reaction Event Severity - 3 concepts, mapped 2 Oct 2018
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
Severe | 24484000 |Severe (severity modifier) (qualifier value)| | |
Moderate | 6736007 |Moderate (severity modifier) (qualifier value)| | |
Mild | 255604002 |Mild (qualifier value)| |
Outstanding questions
Which descriptions will the free set include - None, FSN, PT (in what languages?)
What if SNOMED Concepts split into more expressive versions ie HL7 code would then map to multiple SNOMED CT codes.
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