- Created by Peter G. Williams, last modified by Jeremy Rogers 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 |
Allergy Intolerance Criticality 2 concepts, mapped tentatively 18 Oct 2018
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
low risk | 723505004|Low risk (qualifier value)| | But very questionable whether (a) passing either of this pair 'adjectival modifier' codes is any more useful than passing the words 'low' and 'high; and (b) the wisdom and clinical safety of passing a coded clinical statement stating 'high risk' that does not also explicitly include 'of what?'. Would it be better/safer to pass as new clinical finding codes along the lines of 'high risk of adverse reaction' ? Actually, the exact meaning of the original valueset is in fact not to grade the likelihood of an adverse event but rather of whether, should an adverse event occur,it is likely to be clinically significant one. A high probability of only trivial reactions would be graded 'low risk'. So passing only 'low risk' may be especially clinically rather ambiguous. |
high risk | 723509005|High risk (qualifier value)| |
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)| |
Adverse Event Outcome
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
resolved | ||
recovering | ||
ongoing | ||
resolvedWithSequelae | ||
fatal | ||
unknown |
Condition Ver Status
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
Unconfirmed | 410590009 |Known possible (qualifier value)| | |
Provisional | 410592001|Probably present (qualifier value)| | |
Differential | 410590009|Known possible (qualifier value)| OR 415684004|Suspected (qualifier value)| | |
Confirmed | 410605003 |Confirmed present (qualifier value)| | |
Refuted | 410594000 |Definitely NOT present (qualifier value)| | |
Entered In Error | Not Found |
Condition Clinical
HL7 Value | Suggested SNOMED Term | Discussion |
---|---|---|
Active | ||
Recurrence | ||
Relapse | ||
Inactive | ||
Remission | ||
Resolved |
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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