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Id Issue Status Priority Type Date Assigned To Label
185 Template is too specific Feedback needed Normal Change Request 2017-07-19 11:25:51 Christof Gessner
 
 TBA 
 
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Change Request Template is too specific
Id epsos-issue-185
Status Feedback needed
Priority Normal
Last Tracking 2017-07-19 11:25:51  by  Christof Gessner
Current Assignee Christof Gessner
Current Labels
    
 (TBA) To be approved 
    
 (TID) Template ID 
    
Concerns
Template
false
Simple Observation (1.3.6.1.4.1.19376.1.5.3.1.4.13)
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Template 1.3.6.1.4.1.19376.1.5.3.1.4.13 (2013-12-20) Simple Observation
Status Draft
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Events
Tracking Feedback needed 2017-07-19 11:25:51 : Tracking by Christof Gessner
    
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Description
The Coded Results Section template ( 1.3.6.1.4.1.12559.11.10.1.3.1.2.5) accepts only blood group observation ( 1.3.6.1.4.1.19376.1.5.3.1.4.13.6)  and no other observation entries . This requirement is listed as R18.1 and R18.2 in the PDF spec, and copied in the current template spec.
Tracking Feedback needed 2017-07-19 09:54:22 : Tracking by Giorgio Cangioli
    
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Description
Question: if you revert to the IHE template how do you suppose to specify that for wave 1 under the result section you should find only blood group results and not other information ?....

do you plan to add a textual constrain ? (something like "when used within the result section the observation code shall be valued with ..."

We are all aware that until the problem of correct template identification will not be resolved the validation could not be completed that the reason why this caveat was added 

Note for the readers
This template version represents the best representation of the original epSOS/EXPAND specifications in ART DECOR. However the original epSOS/EXPAND specifications in Microsoft Word took the original IHE Templates and added constraints in written language. This actually is not best practice in electronic Template Design because the additional constraints are not assigned to the original IHE template but rather than that are text only constraints. In order to make everything computable new Template OIDs need to be assigned to the epSOS Templates in order to cover both, the original IHE Template Design and the additional constraints from epSOS in the text and represent them electronically.

Caveat: for the above mentioned reasons this version cannot be used for (automatic) testing/validation purposes. It shall be used however as basis for refinement (repository)

Note: there is a new version planned that covers all above and makes proper testing/validation possible

Assignment 2017-07-18 22:51:15 : Assigned To Christof Gessner by Christof Gessner
    
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Description
re-assign
Tracking Feedback needed 2017-07-18 22:49:11 : Tracking by Christof Gessner
    
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Description
I reverted this spec to (almost) the original IHE spec in https://art-decor.ihe-europe.net/art-decor/decor-templates--IHE-PCC-?section=templates&id=1.3.6.1.4.1.19376.1.5.3.1.4.13.6&effectiveDate=2017-03-23T10:17:49

Main difference is that I left out the required text/reference as this is not (yet) currently implemented in epsos projects.

Future suggestion: remove this template, replace with reference to original spec (or alternatively, create an epSOS specific adaption. This would imply re-parenting of derived templates, accordingly)

Issue to be closed after feedback from Sematic Task Force.
Tracking In Progress 2017-07-18 21:45:34 : Tracking by Christof Gessner
    
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Description
Great! 
So I propose to revert "our" spec to the original template that you quoted. This implies REMOVING the required author, and REVERTING to the LOINC code  882-1 which is more appropriate than the current replacement  34530-6 (which actually signifies an observation panel, while our SNOMED answer list contains the pre-coordinated codes, and not two separate observations!)

I'll repeat this proposal under the Blood Group template.

Tracking In Progress 2017-07-18 21:29:22 : Tracking by Dr. Kai U. Heitmann
    
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Description
Most IHE Templates are defined for ART-DECOR by IHE Europe.
Your Blood Group Observation is here: https://art-decor.ihe-europe.net/art-decor/decor-templates--IHE-PCC-?section=templates&id=1.3.6.1.4.1.19376.1.5.3.1.4.13.6&effectiveDate=2017-03-23T10:17:49
Tracking In Progress 2017-07-18 20:57:39 : Tracking by Christof Gessner
    
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Edited by Christof Gessner ( 2017-07-18 21:07:07 )
Description
Thanks. Will be okay for the time being. 

Trying to locate an authoritative specification of template 1.3.6.1.4.1.19376.1.5.3.1.4.13.6, all I found was http://wiki.ihe.net/index.php/1.3.6.1.4.1.19376.1.5.3.1.4.13.6.
However, it uses a different LOINC code. And author element is apparently optional. Would happy if we could make it optional, like in the IHE wiki quote.

In the current spec here, the last /second resp. third) templateID in 1.3.6.1.4.1.19376.1.5.3.1.4.13 and in 1.3.6.1.4.1.19376.1.5.3.1.4.13.6 is empty. 
Tracking In Progress 2017-07-18 20:27:27 : Tracking by Dr. Kai U. Heitmann
    
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Edited by Dr. Kai Heitmann ( 2017-07-18 20:27:46 ) Dr. Kai Heitmann ( 2017-07-18 20:31:28 ) Dr. Kai Heitmann ( 2017-07-18 20:31:45 )
Description
The Coded Results Section http://art-decor.org/art-decor/decor-templates--epsos-?section=templates&id=1.3.6.1.4.1.12559.11.10.1.3.1.2.5&effectiveDate=2013-12-20T00:00:00 now has the newly created Blood Group Entry. With that the problem should be fixed.

Please also note that 1.3.6.1.4.1.19376.1.5.3.1.4.13.6 is not under your governance so you either reference it from IHE or - if you want to apply additional constraints - you must create a specialised/derived template from 1.3.6.1.4.1.19376.1.5.3.1.4.13.6 with a new template ID.
Assignment 2017-07-18 20:02:21 : Assigned To Dr. Kai U. Heitmann by Christof Gessner
    
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Description
Please fix template child 1.3.6.1.4.1.19376.1.5.3.1.4.13.6, as described in the previous event. Thanks.
Tracking Open 2017-07-18 19:50:46 : Tracking by Christof Gessner
    
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Edited by Christof Gessner ( 2017-07-18 20:01:01 )
Description
This template SimpleObservation ( 1.3.6.1.4.1.19376.1.5.3.1.4.13)  is used as the parent for the following specializations in the epSOS patient summary:

Social History Observation Entry (1.3.6.1.4.1.19376.1.5.3.1.4.13.4)
Pregnancy Observation (1.3.6.1.4.1.19376.1.5.3.1.4.13.5)
Vital Signs Observation (1.3.6.1.4.1.19376.1.5.3.1.4.13.5)
Blood Group Observation (1.3.6.1.4.1.19376.1.5.3.1.4.13.6) [* see remark below]

The PDF spec,  R18.1, page 74, shows the OID 1.3.6.1.4.1.19376.1.5.3.1.4.13.6 as the correct one for blood group observations.

Therefore, the LOINC code and other specializations are given in the template 1.3.6.1.4.1.19376.1.5.3.1.4.13.6, they had to be removed from the common parent template  1.3.6.1.4.1.19376.1.5.3.1.4.13 in order to avoid validation errors in the other child templates listed above.

I attempted to create this blood group template, the result is under  2.16.840.1.113883.3.1937.777.11.10.148, but somehow disfunctional, it cannot be edited anymore, and it should have the correct template ID  1.3.6.1.4.1.19376.1.5.3.1.4.13.6, .


Tracking Open 2017-07-18 15:16:05 : Tracking by Giorgio Cangioli
    
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Description
I suggest to proceed with this kind of generalization only when you plan to fix the template Identifiers issue.

For this version this is supposed to be used only for blood group, so if you remove the obs.code fixed to  34530-6 and the binding of the value to the epSOSBloodGroup
how these constrains will be checked ?

...I saw that they have been already removed....


 
Assignment 2017-07-14 21:04:50 : Assigned To Christof Gessner by Christof Gessner
    
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Tracking Open 2017-07-14 21:04:49 : Tracking by Christof Gessner
    
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Description
Finding:

- has fixed LOINC code for observation, also has data taype CD for statusCode (while descendants have CS)

Suggestion:

- remove code constraints, change statusCode data type 

Further explanation:

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Labels
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 TBA 
TBA TBA To be approved
To be discussed and approved
 
 M1 
M1 M1 Milestone 1
Milestone 1 – before the EXPAND-athon 9-12 December 2015 Lisbon
 
 M2 
M2 M2 Milestone 2
Milestone 2 – final results to be delived at the end of EXPAND
 
 M3 
M3 M3 Milestone 3
Milestone 3 – end of the HL7 International Project
 
 M4 
M4 M4 Milestone 4
Milestone 4 – for consideration in the future / desiderata
 
 WJ 
WJ WJ Changes Word/JIRA
Changes in the Word Specification/Open a JIRA issue
 
 TID 
TID TID Template ID
Template-ID changes throughout the specification