From a1ad23d9cec6552a49cf8c5541da24a7c6e9f56c Mon Sep 17 00:00:00 2001 From: Rob Hausam Date: Wed, 17 Jul 2024 02:26:29 -0500 Subject: [PATCH] FHIR-46365 - Remove AbsentOrUnknownSNOMEDUvIps value set and update affected value sets and related text. Consolidate and simplify the allergy/intolerance value sets and include the SNOMED CT ECL definition in the description text (similar work still to be completed for the other profiles). --- .../fsh/profiles/AllergyIntoleranceUvIps.fsh | 7 - .../valuesets/AbsentOrUnknownSNOMEDUvIps.fsh | 24 - .../AllergyIntoleranceSnomedCtIpsFreeSet.fsh | 898 ------------------ ...ergyIntoleranceSubstanceConditionUvIps.fsh | 24 - .../fsh/valuesets/AllergyIntoleranceUvIps.fsh | 18 +- ...MedicalDevicesSnomedAbsentUnknownUvIps.fsh | 3 +- .../MedicationSnomedCodesAbsentUnknown.fsh | 3 +- .../ProblemsSnomedAbsentUnknownUvIps.fsh | 3 +- .../ProceduresSnomedAbsentUnknownUvIps.fsh | 3 +- input/fsh/valuesets/VaccinesUvIps.fsh | 3 +- input/pagecontent/design.md | 4 +- 11 files changed, 25 insertions(+), 965 deletions(-) delete mode 100644 input/fsh/valuesets/AbsentOrUnknownSNOMEDUvIps.fsh delete mode 100644 input/fsh/valuesets/AllergyIntoleranceSnomedCtIpsFreeSet.fsh delete mode 100644 input/fsh/valuesets/AllergyIntoleranceSubstanceConditionUvIps.fsh diff --git a/input/fsh/profiles/AllergyIntoleranceUvIps.fsh b/input/fsh/profiles/AllergyIntoleranceUvIps.fsh index 36f96770..7ce46a53 100644 --- a/input/fsh/profiles/AllergyIntoleranceUvIps.fsh +++ b/input/fsh/profiles/AllergyIntoleranceUvIps.fsh @@ -24,13 +24,6 @@ It documents the relevant allergies or intolerances (conditions) for a patient, * code ^binding.extension[0].extension[0].url = "purpose" * code ^binding.extension[=].extension[=].valueCode = #candidate * code ^binding.extension[=].extension[+].url = "valueSet" -* code ^binding.extension[=].extension[=].valueCanonical = "http://hl7.org/fhir/uv/ips/ValueSet/allergy-intolerance-snomed-ct-ips-free-set" -* code ^binding.extension[=].extension[+].url = "documentation" -* code ^binding.extension[=].extension[=].valueMarkdown = "Type of the substance/product, allergy or intolerance condition." -* code ^binding.extension[=].url = "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" -* code ^binding.extension[+].extension[0].url = "purpose" -* code ^binding.extension[=].extension[=].valueCode = #candidate -* code ^binding.extension[=].extension[+].url = "valueSet" * code ^binding.extension[=].extension[=].valueCanonical = "http://hl7.org/fhir/uv/ips/ValueSet/whoatc-uv-ips" * code ^binding.extension[=].extension[+].url = "documentation" * code ^binding.extension[=].extension[=].valueMarkdown = "Type of the substance/product, allergy or intolerance condition." diff --git a/input/fsh/valuesets/AbsentOrUnknownSNOMEDUvIps.fsh b/input/fsh/valuesets/AbsentOrUnknownSNOMEDUvIps.fsh deleted file mode 100644 index 9ec6eff3..00000000 --- a/input/fsh/valuesets/AbsentOrUnknownSNOMEDUvIps.fsh +++ /dev/null @@ -1,24 +0,0 @@ -ValueSet: AbsentOrUnknownSNOMEDUvIps -Id: absent-or-unknown-snomed-uv-ips -Title: "Absent or Unknown SNOMED - IPS" -Description: "SNOMED codes recommended for use in resources to express absent or unknown" -* ^meta.profile = "http://hl7.org/fhir/StructureDefinition/shareablevalueset" -* ^version = "1.1.0" -* ^status = #active -* ^experimental = false -* ^date = "2024-06-19T10:50:07-05:00" -* ^publisher = "HL7 International / Patient Care" -* ^contact.telecom.system = #url -* ^contact.telecom.value = "http://www.hl7.org/Special/committees/patientcare" -* ^jurisdiction = $m49.htm#001 -* ^immutable = false -* ^copyright = "Produced by HL7 under the terms of HL7® Governance and Operations Manual relating to Intellectual Property (Section 16), specifically its copyright, trademark and patent provisions. This document is licensed under Creative Commons 'No Rights Reserved' (CC0)." -* SNOMED_CT#716186003 "No known allergy (situation)" -* SNOMED_CT#409137002 "No known drug allergy (situation)" -* SNOMED_CT#428607008 "No known environmental allergy (situation)" -* SNOMED_CT#429625007 "No known food allergy (situation)" -* SNOMED_CT#787483001 "No known device use (situation)" -* SNOMED_CT#787482006 "No known immunizations (situation)" -* SNOMED_CT#787481004 "No known medications (situation)" -* SNOMED_CT#160245001 "No current problems or disability (situation)" -* SNOMED_CT#787480003 "No known procedures (situation)" \ No newline at end of file diff --git a/input/fsh/valuesets/AllergyIntoleranceSnomedCtIpsFreeSet.fsh b/input/fsh/valuesets/AllergyIntoleranceSnomedCtIpsFreeSet.fsh deleted file mode 100644 index d7787d29..00000000 --- a/input/fsh/valuesets/AllergyIntoleranceSnomedCtIpsFreeSet.fsh +++ /dev/null @@ -1,898 +0,0 @@ -ValueSet: AllergyIntoleranceSnomedCtIpsFreeSet -Id: allergy-intolerance-snomed-ct-ips-free-set -Title: "Allergy Intolerance - SNOMED CT IPS Free Set" -Description: "This value set includes the codes for allergy or intolerance findings from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set) that are included in: all descendants of 373873005 \\|Pharmaceutical / biologic product (product)\\|; all descendants of 105590001 \\|Substance (substance)\\|; all descendants of 418038007 \\|Propensity to adverse reactions to substance (finding)\\|." -* ^meta.profile = "http://hl7.org/fhir/StructureDefinition/shareablevalueset" -* ^version = "1.1.0" -* ^status = #active -* ^experimental = false -* ^date = "2022-08-22T04:07:54+00:00" -* ^publisher = "HL7 International / Patient Care" -* ^contact.telecom.system = #url -* ^contact.telecom.value = "http://www.hl7.org/Special/committees/patientcare" -* ^jurisdiction = $m49.htm#001 -* ^immutable = false -* ^copyright = "The SNOMED International IPS Terminology is distributed by International Health Terminology Standards Development Organisation, trading as SNOMED International, and is subject the terms of the [Creative Commons Attribution 4.0 International Public License](https://creativecommons.org/licenses/by/4.0/). 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antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836388000 -* ^expansion.contains[=].display = "Rubella virus antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836389008 -* ^expansion.contains[=].display = "Vaccinia virus antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836390004 -* ^expansion.contains[=].display = "Salmonella enterica subspecies enterica serovar Typhi antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836393002 -* ^expansion.contains[=].display = "Rabies lyssavirus antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836397001 -* ^expansion.contains[=].display = "Coxiella burnetii antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836398006 -* ^expansion.contains[=].display = "Streptococcus pneumoniae antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836401009 -* ^expansion.contains[=].display = "Neisseria meningitidis antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836402002 -* ^expansion.contains[=].display = "Bacillus Calmette-Guerin antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836403007 -* ^expansion.contains[=].display = "Tick-borne encephalitis virus antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836495005 -* ^expansion.contains[=].display = "Human alphaherpesvirus 3 antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836498007 -* ^expansion.contains[=].display = "Mumps orthorubulavirus antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #836500008 -* ^expansion.contains[=].display = "Haemophilus influenzae type b and Neisseria meningitidis serogroup C antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #840535000 -* ^expansion.contains[=].display = "Severe acute respiratory syndrome coronavirus 2 antibody" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #840536004 -* ^expansion.contains[=].display = "Severe acute respiratory syndrome coronavirus 2 antigen" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #840549009 -* ^expansion.contains[=].display = "Yersinia pestis antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #840599008 -* ^expansion.contains[=].display = "Borrelia burgdorferi antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #863911006 -* ^expansion.contains[=].display = "Clostridium tetani antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871737006 -* ^expansion.contains[=].display = "Mumps orthorubulavirus antigen only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871738001 -* ^expansion.contains[=].display = "Live attenuated Mumps orthorubulavirus antigen only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871740006 -* ^expansion.contains[=].display = "Inactivated whole Human poliovirus antigen only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871759008 -* ^expansion.contains[=].display = "Acellular Bordetella pertussis only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871765008 -* ^expansion.contains[=].display = "Measles morbillivirus antigen only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871768005 -* ^expansion.contains[=].display = "Influenza virus antigen only vaccine product in nasal dose form" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871772009 -* ^expansion.contains[=].display = "Influenza A virus subtype H1N1 antigen only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871803007 -* ^expansion.contains[=].display = "Hepatitis A and Hepatitis B virus antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871804001 -* ^expansion.contains[=].display = "Hepatitis A virus and Salmonella enterica subspecies enterica serovar Typhi antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871806004 -* ^expansion.contains[=].display = "Haemophilus influenzae type b and Hepatitis B virus antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871826000 -* ^expansion.contains[=].display = "Clostridium tetani and Corynebacterium diphtheriae antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871831003 -* ^expansion.contains[=].display = "Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871837004 -* ^expansion.contains[=].display = "Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871839001 -* ^expansion.contains[=].display = "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Haemophilus influenzae type b antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871866001 -* ^expansion.contains[=].display = "Neisseria meningitidis serogroup C only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871871008 -* ^expansion.contains[=].display = "Neisseria meningitidis serogroup A and C only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871873006 -* ^expansion.contains[=].display = "Neisseria meningitidis serogroup A, C, W135 and Y only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871875004 -* ^expansion.contains[=].display = "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871876003 -* ^expansion.contains[=].display = "Acellular Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871878002 -* ^expansion.contains[=].display = "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Human poliovirus antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871887006 -* ^expansion.contains[=].display = "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Haemophilus influenzae type b and Human poliovirus antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871889009 -* ^expansion.contains[=].display = "Acellular Bordetella pertussis and Corynebacterium diphtheriae and Hepatitis B virus and inactivated whole Human poliovirus antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871895005 -* ^expansion.contains[=].display = "Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae and Haemophilus influenzae type b and Hepatitis B virus and Human poliovirus antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871908002 -* ^expansion.contains[=].display = "Human alphaherpesvirus 3 and Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871918007 -* ^expansion.contains[=].display = "Rickettsia antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #871921009 -* ^expansion.contains[=].display = "Staphylococcus toxoid vaccine" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1003736004 -* ^expansion.contains[=].display = "Mammalian milk based food" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1052328007 -* ^expansion.contains[=].display = "Streptococcus pneumoniae Danish serotype 4, 6B, 9V, 14, 18C, 19F, and 23F capsular polysaccharide antigens conjugated only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1119254000 -* ^expansion.contains[=].display = "Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F capsular polysaccharide antigens only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1137358000 -* ^expansion.contains[=].display = "Piper - pepper" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #601000221108 -* ^expansion.contains[=].display = "Bordetella pertussis antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #971000221109 -* ^expansion.contains[=].display = "Live attenuated Salmonella enterica subspecies enterica serovar Typhi antigen only vaccine product in oral dose form" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1001000221103 -* ^expansion.contains[=].display = "Inactivated whole Vibrio cholerae antigen only vaccine product in oral dose form" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1011000221100 -* ^expansion.contains[=].display = "Live attenuated Vibrio cholerae antigen only vaccine product in oral dose form" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1031000221108 -* ^expansion.contains[=].display = "Human poliovirus antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1051000221104 -* ^expansion.contains[=].display = "Live attenuated Human poliovirus serotypes 1 and 3 antigens only vaccine product in oral dose form" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1081000221109 -* ^expansion.contains[=].display = "Live attenuated Rotavirus antigen only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1101000221104 -* ^expansion.contains[=].display = "Clostridium tetani toxoid antigen-containing vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1121000221106 -* ^expansion.contains[=].display = "Live attenuated Yellow fever virus antigen only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1131000221109 -* ^expansion.contains[=].display = "Vaccine product containing only inactivated whole Rabies lyssavirus antigen" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1181000221105 -* ^expansion.contains[=].display = "Influenza virus antigen only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1801000221105 -* ^expansion.contains[=].display = "Streptococcus pneumoniae capsular polysaccharide antigen conjugated only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1981000221108 -* ^expansion.contains[=].display = "Neisseria meningitidis serogroup B antigen only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #2171000221104 -* ^expansion.contains[=].display = "Salmonella enterica subspecies enterica serovar Typhi capsular polysaccharide unconjugated antigen only vaccine product in parenteral dose form" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #2221000221107 -* ^expansion.contains[=].display = "Live attenuated Human alphaherpesvirus 3 only vaccine product" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #442461000124102 -* ^expansion.contains[=].display = "Hickory nut" -* include codes from system http://snomed.info/sct - where constraint = "(< 373873005 |Pharmaceutical / biologic product (product)| OR < 105590001 |Substance (substance)| OR < 418038007 |Propensity to adverse reactions to substance (finding)|) AND ^ 816080008 |International Patient Summary (foundation metadata concept)|" \ No newline at end of file diff --git a/input/fsh/valuesets/AllergyIntoleranceSubstanceConditionUvIps.fsh b/input/fsh/valuesets/AllergyIntoleranceSubstanceConditionUvIps.fsh deleted file mode 100644 index c90a50b0..00000000 --- a/input/fsh/valuesets/AllergyIntoleranceSubstanceConditionUvIps.fsh +++ /dev/null @@ -1,24 +0,0 @@ -ValueSet: AllergyIntoleranceSubstanceConditionUvIps -Id: allergy-intolerance-substance-condition-uv-ips -Title: "Allergy Intolerance Substance Condition - IPS" -Description: "IPS Allergy intolerance substance condition value set. This value set includes codes from SNOMED Clinical Terms®: all descendants of 373873005 \\|Pharmaceutical / biologic product (product)\\|; all descendants of 105590001 \\|Substance (substance)\\|; all descendants of 418038007 \\|Propensity to adverse reactions to substance (finding)\\|" -* ^meta.profile = "http://hl7.org/fhir/StructureDefinition/shareablevalueset" -* ^identifier.use = #official -* ^identifier.system = "http://art-decor.org/ns/oids/vs" -* ^identifier.value = "2.16.840.1.113883.11.22.65" -* ^version = "1.1.0" -* ^status = #active -* ^experimental = false -* ^date = "2024-06-19T10:50:07-05:00" -* ^publisher = "HL7 International / Patient Care" -* ^contact.telecom.system = #url -* ^contact.telecom.value = "http://www.hl7.org/Special/committees/patientcare" -* ^jurisdiction = $m49.htm#001 -* ^immutable = false -* ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: info@snomed.org" -* include codes from system http://snomed.info/sct - where concept descendent-of #105590001 -* include codes from system http://snomed.info/sct - where concept descendent-of #373873005 -* include codes from system http://snomed.info/sct - where concept descendent-of #418038007 \ No newline at end of file diff --git a/input/fsh/valuesets/AllergyIntoleranceUvIps.fsh b/input/fsh/valuesets/AllergyIntoleranceUvIps.fsh index bf3d9d94..a09444d2 100644 --- a/input/fsh/valuesets/AllergyIntoleranceUvIps.fsh +++ b/input/fsh/valuesets/AllergyIntoleranceUvIps.fsh @@ -1,17 +1,25 @@ ValueSet: AllergyIntoleranceUvIps Id: allergy-intolerance-uv-ips Title: "Allergy Intolerance - IPS" -Description: "IPS Allergy intolerance codes value set. This value set includes codes from SNOMED Clinical Terms®: all descendants of 373873005 \\|Pharmaceutical / biologic product (product)\\|; all descendants of 105590001 \\|Substance (substance)\\|; all descendants of 418038007 \\|Propensity to adverse reactions to substance (finding)\\| plus codes for absent and unknown allergies." +Description: """ +IPS Allergy intolerance codes value set. This value set includes codes from SNOMED CT®: all descendants of 373873005 \|Pharmaceutical / biologic product (product)\|; all descendants of 105590001 \|Substance (substance)\|; all descendants of 420134006 \|Propensity to adverse reaction (finding)\|; all descendants of 716186003 \|No known allergy (situation)\. + +SNOMED CT® ECL definition: < 373873005 \|Pharmaceutical / biologic product (product)\| OR < 105590001 \|Substance (substance)\| OR < 420134006 \|Propensity to adverse reaction (finding)\| OR 716186003 \|No known allergy (situation)\| +""" * ^meta.profile = "http://hl7.org/fhir/StructureDefinition/shareablevalueset" -* ^version = "1.1.0" * ^status = #active * ^experimental = false -* ^date = "2024-06-19T10:50:07-05:00" * ^publisher = "HL7 International / Patient Care" * ^contact.telecom.system = #url * ^contact.telecom.value = "http://www.hl7.org/Special/committees/patientcare" * ^jurisdiction = $m49.htm#001 * ^immutable = false * ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: info@snomed.org" -* include codes from valueset AllergyIntoleranceSubstanceConditionUvIps -* include codes from valueset AbsentOrUnknownSNOMEDUvIps \ No newline at end of file +* include codes from system http://snomed.info/sct + where concept descendent-of #105590001 "Substance (substance)" +* include codes from system http://snomed.info/sct + where concept descendent-of #373873005 "Pharmaceutical / biologic product (product)" +* include codes from system http://snomed.info/sct + where concept descendent-of #420134006 "Propensity to adverse reaction (finding)" +* include codes from system http://snomed.info/sct + where concept descendent-of #716186003 "No known allergy (situation)" \ No newline at end of file diff --git a/input/fsh/valuesets/MedicalDevicesSnomedAbsentUnknownUvIps.fsh b/input/fsh/valuesets/MedicalDevicesSnomedAbsentUnknownUvIps.fsh index 332d27f1..2ea6bf82 100644 --- a/input/fsh/valuesets/MedicalDevicesSnomedAbsentUnknownUvIps.fsh +++ b/input/fsh/valuesets/MedicalDevicesSnomedAbsentUnknownUvIps.fsh @@ -13,4 +13,5 @@ Description: "This value set includes codes from SNOMED Clinical Terms (SNOMED C * ^immutable = false * ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: info@snomed.org" * include codes from valueset MedicalDevicesSnomedCtUvIps -* include codes from valueset AbsentOrUnknownSNOMEDUvIps \ No newline at end of file +* include codes from system http://snomed.info/sct + where concept is-a #787483001 "No known device use (situation)" \ No newline at end of file diff --git a/input/fsh/valuesets/MedicationSnomedCodesAbsentUnknown.fsh b/input/fsh/valuesets/MedicationSnomedCodesAbsentUnknown.fsh index c85bb9f5..216a9f17 100644 --- a/input/fsh/valuesets/MedicationSnomedCodesAbsentUnknown.fsh +++ b/input/fsh/valuesets/MedicationSnomedCodesAbsentUnknown.fsh @@ -13,4 +13,5 @@ Description: "This value set includes the codes from SNOMED CT that are included * ^immutable = false * ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: info@snomed.org" * include codes from valueset MedicationsSnomedCtUvIps -* include codes from valueset AbsentOrUnknownSNOMEDUvIps \ No newline at end of file +* include codes from system http://snomed.info/sct + where concept is-a #787481004 "No known medications (situation)" \ No newline at end of file diff --git a/input/fsh/valuesets/ProblemsSnomedAbsentUnknownUvIps.fsh b/input/fsh/valuesets/ProblemsSnomedAbsentUnknownUvIps.fsh index 9bb48c2f..d01914d0 100644 --- a/input/fsh/valuesets/ProblemsSnomedAbsentUnknownUvIps.fsh +++ b/input/fsh/valuesets/ProblemsSnomedAbsentUnknownUvIps.fsh @@ -14,4 +14,5 @@ Description: "This value set includes codes from SNOMED Clinical Terms®: desce * ^immutable = false * ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: info@snomed.org" * include codes from valueset ProblemsSnomedCtUvIps -* include codes from valueset AbsentOrUnknownSNOMEDUvIps \ No newline at end of file +* include codes from system http://snomed.info/sct + where concept is-a #160245001 "No current problems or disability (situation)" \ No newline at end of file diff --git a/input/fsh/valuesets/ProceduresSnomedAbsentUnknownUvIps.fsh b/input/fsh/valuesets/ProceduresSnomedAbsentUnknownUvIps.fsh index b05fac85..29130a3b 100644 --- a/input/fsh/valuesets/ProceduresSnomedAbsentUnknownUvIps.fsh +++ b/input/fsh/valuesets/ProceduresSnomedAbsentUnknownUvIps.fsh @@ -13,4 +13,5 @@ Description: "This value set includes codes from SNOMED Clinical Terms®: descen * ^immutable = false * ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: info@snomed.org" * include codes from valueset ProceduresSnomedCtUvIps -* include codes from valueset AbsentOrUnknownSNOMEDUvIps \ No newline at end of file +* include codes from system http://snomed.info/sct + where concept is-a #787480003 "No known procedures (situation)" \ No newline at end of file diff --git a/input/fsh/valuesets/VaccinesUvIps.fsh b/input/fsh/valuesets/VaccinesUvIps.fsh index 2fef3bfc..98754774 100644 --- a/input/fsh/valuesets/VaccinesUvIps.fsh +++ b/input/fsh/valuesets/VaccinesUvIps.fsh @@ -18,4 +18,5 @@ Description: "This value set provides a list of types of vaccine, plus IPS codes * ^copyright = "The HL7 International IPS implementation guides incorporate SNOMED CT®, used by permission of the International Health Terminology Standards Development Organisation, trading as SNOMED International. SNOMED CT was originally created by the College of American Pathologists. SNOMED CT is a registered trademark of the International Health Terminology Standards Development Organisation, all rights reserved. Implementers of SNOMED CT should review [usage terms](http://www.snomed.org/snomed-ct/get-snomed-ct) or directly contact SNOMED International: info@snomed.org" * include codes from system http://snomed.info/sct where concept descendent-of #787859002 -* include codes from valueset AbsentOrUnknownSNOMEDUvIps \ No newline at end of file +* include codes from system http://snomed.info/sct + where concept is-a #787482006 "No known immunizations (situation)" \ No newline at end of file diff --git a/input/pagecontent/design.md b/input/pagecontent/design.md index be629a7b..06eb7f17 100644 --- a/input/pagecontent/design.md +++ b/input/pagecontent/design.md @@ -35,9 +35,9 @@ Implementers conforming to an IPS document in the IPS Implementation Guide: There are currently 14 sections defined in the IPS. All sections have 0..* references in the [IPS Composition.section.entry](./StructureDefinition-Composition-uv-ips.html) element of the IPS, meaning that a section may be included without a reference to a structured resource. For required sections (allergies, problems and medications), Composition.section.emptyReason must be included in this circumstance. For non-required sections, document creators may alternatively choose to omit sections when no data is available. For all sections populated of an IPS document, Composition.section.text must still be populated to provide a human readable presentation of the information in the section. See [Narrative and Language Translation](#narrative-and-language-translation) for more on this design decision. -Resources may also be used to assert the known absence of data rather than using the [IPS Composition.section.emptyReason](./StructureDefinition-Composition-uv-ips.html). To do so, it is recommended to use patterns established within FHIR generally to assert known absence. For example with an AllergyIntolerance, a [SNOMED code may be used to represent no known allergy](https://hl7.org/fhir/R4/allergyintolerance-nka.json.html). Prior versions of the IPS implementation guide had included a code system for no known data circumstances, although this terminology has been removed from the guide and is no longer recommended for use. A recommended value set for [absent or unknown concepts using SNOMED](./ValueSet-absent-or-unknown-snomed-uv-ips.html) is now included in the guide. +Resources may also be used to assert the known absence of data rather than using the [IPS Composition.section.emptyReason](./StructureDefinition-Composition-uv-ips.html). To do so, it is recommended to use patterns established within FHIR generally to assert known absence. For example with an AllergyIntolerance, a [SNOMED CT code may be used to represent no known allergy](https://hl7.org/fhir/R4/allergyintolerance-nka.json.html). Prior versions of the IPS implementation guide had included a code system for no known data circumstances, although this terminology has been removed from the guide and is no longer recommended for use. The recommended SNOMED CT concepts for representing known absent data for specific profiles are included in the value sets that are bound for the "primary" element in the resource (typically the 'code' element). -It is recommended that when a source system has no information about a particular IPS section, that the emptyReason element for that section be populated with the [code "unavailable"](https://hl7.org/fhir/R4/valueset-list-empty-reason.html). When a clinical statement is asserting the absence of information, however, it is recommended that a resource be included in the relevant section using a code from the [SNOMED absent or unknown value set](./ValueSet-absent-or-unknown-snomed-uv-ips.html) to represent the explicit context. +It is recommended that when a source system has no information about a particular IPS section, that the emptyReason element for that section be populated with the code ['unavailable'](https://hl7.org/fhir/R4/valueset-list-empty-reason.html). However, if it is desired to use an explicit clinical statement to assert the absence of information, it is recommended that a resource be included in the relevant section using the SNOMED CT code ['1287211007'](https://browser.ihtsdotools.org/?perspective=full&conceptId1=1287211007) for "No information available". #### Optional MustSupport Data Elements (cardinality of 0..1 or 0..*)