From a94cc625dd944c342d524959765e85e4656ec004 Mon Sep 17 00:00:00 2001 From: Rob Hausam Date: Thu, 25 Jul 2024 15:53:13 -0500 Subject: [PATCH] FHIR-46365 - Consolidate and simplify the problems value sets and include the SNOMED CT ECL definition in the description text. Plus a minor update to the allergy-intolerance profile 'code' element binding description. --- .../fsh/profiles/AllergyIntoleranceUvIps.fsh | 2 +- input/fsh/profiles/ConditionUvIps.fsh | 13 +- .../ProblemsSnomedAbsentUnknownUvIps.fsh | 18 - .../valuesets/ProblemsSnomedCtIpsFreeSet.fsh | 16887 ---------------- input/fsh/valuesets/ProblemsSnomedCtUvIps.fsh | 21 - input/fsh/valuesets/ProblemsUvIps.fsh | 27 + 6 files changed, 31 insertions(+), 16937 deletions(-) delete mode 100644 input/fsh/valuesets/ProblemsSnomedAbsentUnknownUvIps.fsh delete mode 100644 input/fsh/valuesets/ProblemsSnomedCtIpsFreeSet.fsh delete mode 100644 input/fsh/valuesets/ProblemsSnomedCtUvIps.fsh create mode 100644 input/fsh/valuesets/ProblemsUvIps.fsh diff --git a/input/fsh/profiles/AllergyIntoleranceUvIps.fsh b/input/fsh/profiles/AllergyIntoleranceUvIps.fsh index 888dc465..45c934f1 100644 --- a/input/fsh/profiles/AllergyIntoleranceUvIps.fsh +++ b/input/fsh/profiles/AllergyIntoleranceUvIps.fsh @@ -28,7 +28,7 @@ It documents the relevant allergies or intolerances (conditions) for a patient, * 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.description = "Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy." +* code ^binding.description = "Type of the substance/product, allergy or intolerance condition or a code for absent allergy." * patient only Reference(PatientUvIps) * patient MS * patient.reference 1.. MS diff --git a/input/fsh/profiles/ConditionUvIps.fsh b/input/fsh/profiles/ConditionUvIps.fsh index 70b2cfe5..80837f52 100644 --- a/input/fsh/profiles/ConditionUvIps.fsh +++ b/input/fsh/profiles/ConditionUvIps.fsh @@ -33,16 +33,9 @@ Description: "This profile represents the constraints applied to the Condition r * severity from $condition-severity (preferred) * code 1..1 MS * code only CodeableConceptIPS -* code from ProblemsSnomedAbsentUnknownUvIps (preferred) -* code ^definition = "Identification of the condition, problem or diagnosis or recording of \"problem absent\" or of \"problems unknown\"." -* 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/problems-snomed-ct-ips-free-set" -* code ^binding.extension[=].extension[+].url = "documentation" -* code ^binding.extension[=].extension[=].valueMarkdown = "Codes for a clinical problem in SNOMED IPS Free Set" -* code ^binding.extension[=].url = "http://hl7.org/fhir/tools/StructureDefinition/additional-binding" -* code ^binding.description = "Code for a clinical problem that is selected from SNOMED CT or a code for absent/unknown problem" +* code from ProblemsUvIps (preferred) +* code ^definition = "Identification of the condition, problem or diagnosis or recording of absent problems." +* code ^binding.description = "Code for a clinical problem (or absent problem) that is selected from SNOMED CT" * bodySite only CodeableConceptIPS * bodySite from SNOMEDCTBodyStructures (example) * bodySite ^binding.extension[0].url = "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName" diff --git a/input/fsh/valuesets/ProblemsSnomedAbsentUnknownUvIps.fsh b/input/fsh/valuesets/ProblemsSnomedAbsentUnknownUvIps.fsh deleted file mode 100644 index 02007022..00000000 --- a/input/fsh/valuesets/ProblemsSnomedAbsentUnknownUvIps.fsh +++ /dev/null @@ -1,18 +0,0 @@ -ValueSet: ProblemsSnomedAbsentUnknownUvIps -Id: problems-snomed-absent-unknown-uv-ips -Title: "Problems - SNOMED CT + Absent/Unknown - IPS" -Description: "This value set includes codes from SNOMED Clinical Terms®: descendants of 404684003 \\|Clinical finding (finding) \\|, descendants of 243796009 \\|Situation with explicit context (situation)\\| and descendants of 272379006 \\|Event (event)\\| but excludes descendants of 71388002 \\|Procedure (procedure)\\|, as they are expected to be represented separately in the History of Procedures Section." -* ^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 = "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement" -* include codes from valueset ProblemsSnomedCtUvIps -* 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/ProblemsSnomedCtIpsFreeSet.fsh b/input/fsh/valuesets/ProblemsSnomedCtIpsFreeSet.fsh deleted file mode 100644 index a74d570c..00000000 --- a/input/fsh/valuesets/ProblemsSnomedCtIpsFreeSet.fsh +++ /dev/null @@ -1,16887 +0,0 @@ -ValueSet: ProblemsSnomedCtIpsFreeSet -Id: problems-snomed-ct-ips-free-set -Title: "Problems - SNOMED CT IPS Free Set" -Description: "This value set includes the codes from the SNOMED International Patient Set (IPS) subset of SNOMED CT (IPS Free Set) that are included in: descendants of 404684003 \\|Clinical finding (finding) \\|, descendants of 243796009 \\|Situation with explicit context (situation)\\| and descendants of 272379006 \\|Event (event)\\|. The descendants of 71388002 \\|Procedure (procedure)\\| (which were included in the CORE problem list) are not included, as they are expected to be represented separately in the History of Procedures Section." -* ^version = "1.1.0" -* ^status = #active -* ^experimental = false -* ^date = "2022-08-31T10:10:59+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/). For more information, see [SNOMED IPS Terminology](https://www.snomed.org/snomed-ct/Other-SNOMED-products/international-patient-summary-terminology)" -* ^expansion.timestamp = "2022-08-31T10:10:59+00:00" -* ^expansion.total = 5622 -* ^expansion.offset = 0 -* ^expansion.parameter.name = "version" -* ^expansion.parameter.valueUri = "http://snomed.info/sct/version/20220731" -* ^expansion.contains[0].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #15971541000119105 -* ^expansion.contains[=].display = "Left femoral hernia" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #15971181000119105 -* ^expansion.contains[=].display = "Right femoral hernia" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #12275351000119103 -* ^expansion.contains[=].display = "Breast cancer screening declined" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #10850741000119108 -* ^expansion.contains[=].display = "Accidental needle stick injury" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #218951000119100 -* ^expansion.contains[=].display = "Bilateral visual impairment" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #44991000119100 -* ^expansion.contains[=].display = "Abnormal uterine bleeding" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #17461000119103 -* ^expansion.contains[=].display = "Sequela of intracranial injury" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #781000119106 -* ^expansion.contains[=].display = "Neuropathic arthropathy due to type 2 diabetes mellitus" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #591000119102 -* ^expansion.contains[=].display = "Vaccine declined by patient" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #481000119104 -* ^expansion.contains[=].display = "Strain of hamstring muscle" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #331000119106 -* ^expansion.contains[=].display = "Tendinitis of elbow or forearm" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1157257000 -* ^expansion.contains[=].display = "Poisoning by hypnotic agent" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1156963006 -* ^expansion.contains[=].display = "Myelopathy due to cervical spondylosis" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1156015005 -* ^expansion.contains[=].display = "Acquired deformity of hip region" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1156014009 -* ^expansion.contains[=].display = "Acquired deformity of hip joint" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1149345007 -* ^expansion.contains[=].display = "Excessive weight gain during pregnancy" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1149334009 -* ^expansion.contains[=].display = "Acute intoxication" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1149222004 -* ^expansion.contains[=].display = "Overdose" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1148758003 -* ^expansion.contains[=].display = "Congenital microcephaly" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1148757008 -* ^expansion.contains[=].display = "Microcephaly" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1148649003 -* ^expansion.contains[=].display = "Poisoning caused by opioid receptor agonist" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1148567001 -* ^expansion.contains[=].display = "Poisoning caused by sedative" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1145403003 -* ^expansion.contains[=].display = "Macrocephaly" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1145402008 -* ^expansion.contains[=].display = "Congenital macrocephaly" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1145155005 -* ^expansion.contains[=].display = "Lead and/or lead compound poisoning" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1144805008 -* ^expansion.contains[=].display = "Microscopic polyangiitis" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1052240009 -* ^expansion.contains[=].display = "Paresis of right vocal cord" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1052239007 -* ^expansion.contains[=].display = "Paresis of left vocal cord" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1010569005 -* ^expansion.contains[=].display = "Undescended right testicle" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1010568002 -* ^expansion.contains[=].display = "Undescended left testicle" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1010217004 -* ^expansion.contains[=].display = "Congenital subluxation of right hip joint" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1010215007 -* ^expansion.contains[=].display = "Congenital subluxation of left hip joint" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1004081001 -* ^expansion.contains[=].display = "Neonatal disorder due to disease in mother" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1003722009 -* ^expansion.contains[=].display = "Pain of knee region" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1003721002 -* ^expansion.contains[=].display = "Pain of joint of knee" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1003614009 -* ^expansion.contains[=].display = "Open angle glaucoma suspect" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #1003488007 -* ^expansion.contains[=].display = "Angle closure glaucoma suspect" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #926335004 -* ^expansion.contains[=].display = "Rupture of rotator cuff of shoulder" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #897004000 -* ^expansion.contains[=].display = "Esophageal varices due to cirrhosis of liver" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #895454001 -* ^expansion.contains[=].display = "Lichen sclerosus" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #874804000 -* ^expansion.contains[=].display = "Contusion of head and/or neck" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #866000008 -* ^expansion.contains[=].display = "Pilonidal abscess" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #860918004 -* ^expansion.contains[=].display = "Erectile dysfunction due to psychophysiologic disorder" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #860914002 -* ^expansion.contains[=].display = "Erectile dysfunction" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #860792009 -* ^expansion.contains[=].display = "Pleural effusion due to malignant neoplastic disease" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #860791002 -* ^expansion.contains[=].display = "Pleural effusion due to neoplastic disease" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #846645002 -* ^expansion.contains[=].display = "Tenosynovitis of elbow" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #840546002 -* ^expansion.contains[=].display = "Exposure to SARS-CoV-2" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #840544004 -* ^expansion.contains[=].display = "Suspected COVID-19" -* 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^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #219006 -* ^expansion.contains[=].display = "Current drinker" -* ^expansion.contains[+].system = "http://snomed.info/sct" -* ^expansion.contains[=].code = #140004 -* ^expansion.contains[=].display = "Chronic pharyngitis" -* include codes from system http://snomed.info/sct - where constraint = "(< 404684003 |Clinical finding (finding)| OR < 243796009 |Situation with explicit context (situation)| OR < 272379006 |Event (event)|) AND ^ 816080008 |International Patient Summary (foundation metadata concept)|" \ No newline at end of file diff --git a/input/fsh/valuesets/ProblemsSnomedCtUvIps.fsh b/input/fsh/valuesets/ProblemsSnomedCtUvIps.fsh deleted file mode 100644 index 6f979e49..00000000 --- a/input/fsh/valuesets/ProblemsSnomedCtUvIps.fsh +++ /dev/null @@ -1,21 +0,0 @@ -ValueSet: ProblemsSnomedCtUvIps -Id: problems-snomed-uv-ips -Title: "Problems (SNOMED CT) - IPS" -Description: "This value set includes codes from SNOMED Clinical Terms®: descendants of 404684003 \\|Clinical finding (finding) \\|, descendants of 243796009 \\|Situation with explicit context (situation)\\| and descendants of 272379006 \\|Event (event)\\|. The descendants of 71388002 \\|Procedure (procedure)\\| (which were included in the CORE problem list) are not included, as they are expected to be represented separately in the History of Procedures Section." -* ^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 = "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement" -* include codes from system http://snomed.info/sct - where concept descendent-of #404684003 -* include codes from system http://snomed.info/sct - where concept descendent-of #243796009 -* include codes from system http://snomed.info/sct - where concept descendent-of #272379006 \ No newline at end of file diff --git a/input/fsh/valuesets/ProblemsUvIps.fsh b/input/fsh/valuesets/ProblemsUvIps.fsh new file mode 100644 index 00000000..7c4baec3 --- /dev/null +++ b/input/fsh/valuesets/ProblemsUvIps.fsh @@ -0,0 +1,27 @@ +ValueSet: ProblemsUvIps +Id: problems-uv-ips +Title: "Problems - IPS" +Description: """ +IPS Problem (Condition) codes value set. +This value set includes codes from SNOMED CT®: all descendants of 404684003 \|Clinical finding (finding)\|; all descendants of 243796009 \|Situation with explicit context (situation)\|; all descendants of 272379006 \|Event (event)\|; all descendants or self of 160245001 \|No current problems or disability (situation)\|. The descendants of 71388002 \|Procedure (procedure)\| (which were included in the CORE problem list) are not included, as they are expected to be represented separately in the History of Procedures Section. + +SNOMED CT® ECL definition: < 404684003 \|Clinical finding (finding)\| OR < 243796009 \|Situation with explicit context (situation)\| OR < 272379006 \|Event (event)\| OR \<\< 160245001 \|No current problems or disability (situation)\| +""" +* ^meta.profile = "http://hl7.org/fhir/StructureDefinition/shareablevalueset" +* ^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 #404684003 "Clinical finding (finding)" +* include codes from system http://snomed.info/sct + where concept descendent-of #243796009 "Situation with explicit context (situation)" +* include codes from system http://snomed.info/sct + where concept descendent-of #272379006 "Event (event)" +* 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