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International Patient Summary (IPS) - Templates

 
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IPS Allergy and Intolerance Concern
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History (7)
Date Author Status Type
2017-12-15 22:56:28 Dr. Kai Heitmann Draft version
2017-12-15 16:27:09 Giorgio Cangioli Draft version
2017-12-12 19:17:55 Giorgio Cangioli Draft version
2017-10-27 18:08:50 Giorgio Cangioli Draft version
2017-10-27 18:08:18 Giorgio Cangioli Draft version
2017-10-27 18:07:04 Giorgio Cangioli Draft version
2017-07-21 08:16:15 Giorgio Cangioli Draft version
false
Issues (3)
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Request for Information/Education Status = Closed ( hl7ips-issue-15 ): Value for the ACT.code (Allergy Concern)
Type Request for Information/Education Status Request for Information/Education Status = Closed Priority Normal
Current Labels
 
 (CDA) CDA Implementation 
 
 (Allergy) Allergy 
 
 (IHE) For IHE consideration 
 
 (eHDSI) For eHDSI consideration 
Events
Tracking / Status = Closed 2017-02-01 15:59:35 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
 
 IHE 
 
 eHDSI 
Description
Change applied to the template
Tracking / Status = Feedback needed 2016-11-15 16:01:38 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
 
 IHE 
 
 eHDSI 
Description
Finding:

IHE PCC (and epSOS) uses the nullflavor NA the C-CDA the code "CONC"
to be discussed how to valorize this element.

Allow for both ? Use CONC ? Use NA ? Other solutions ?

Call 25 Nov 2016:

1) Adopt the code "CONC"
2) Suggest the same change to IHE PCC and eHDSI specifications

Further explanation:

-

Request for Information/Education Status = Closed ( hl7ips-issue-16 ): ValueSet for the statusCode (Allergy Concern)
Type Request for Information/Education Status Request for Information/Education Status = Closed Priority Normal
Current Labels
 
 (Allergy) Allergy 
 
 (CDA) CDA Implementation 
Events
Tracking / Status = Closed 2017-04-11 15:33:43 : Tracking by Giorgio Cangioli
 
 Allergy 
 
 CDA 
Description
The Concern statusCode  is only active or completed.
See the Paris meeting minutes.
Tracking / Status = In Progress 2017-02-28 09:37:13 : Tracking by Giorgio Cangioli
 
 Allergy 
 
 CDA 
Description
From Stephen Chu mail 

"C-CDA StatusCode is primarily used for state-transition/object state/workflow representations with values such as:

  • consol::AllergyProblemAct::statusCode                     active, suspended, aborted, completed,
  • consol::HealthConcernAct::statusCode                      active, suspended, aborted, completed,
  • consol::ProcedureActivityObservation::statusCode     completed, active, aborted, cancelled,
  • consol::ProcedureActivityProcedure::statusCode       completed, active, aborted, cancelled,


And in some cases, it is also used to represent a mixture of "findings" and "object/workflow" status, e.g.:

consol::MedicationActivity::statusCode       normal, aborted, active, cancelled, completed, held, 

                                                                new, suspended, nullified, obsolete,

where "normal" is a value more reflective of "finding" about the activity/event

 

The values of "resolved", "inactive" mentioned by Rob are clinical status values, which C-CDA R2.0 does not have template(s) for.

PCWG is in discussions with SDWG on how to represent clinical status values for Conditions, Problems, Concerns (including Allergy/Intolerance).

PCWG will hold a conference call on 13 March at 5:00pm US Eastern time to discuss this matter before organising a joint call with SDWG.

I am happy to share the slide deck that I have prepared for this topic with the IPS project after PCWG and SDWG have reached agreement on the topic.

Tracking / Status = In Progress 2017-02-28 00:01:35 : Tracking by Rob Hausam
 
 Allergy 
 
 CDA 
Description
I don't see any clear meaning or use for "suspended" or "aborted" in the allergy/intolerance context.  FHIR does also include "resolved", as a subtype of "inactive", which seems reasonable.  We could consider either restricting the ProblemAct statusCode value set to only "active" and "completed", or we could consider adopting the FHIR allergy-clinical-status (http://build.fhir.org/valueset-allergy-clinical-status.html) value set.
Tracking / Status = In Progress 2017-02-27 18:16:54 : Tracking by Giorgio Cangioli
 
 Allergy 
 
 CDA 
Description
The C-CDA provides the following explanations:
  • As long as the underlying condition is of concern to the author (i.e., as long as the allergy, whether active or resolved, is of ongoing concern and interest to the author), the statusCode is “active”. 
  • Only when the underlying allergy is no longer of concern is the statusCode set to “completed”. 

Should we limit the value set to these two values ? (the C-CDA includes beside actvie and completed also aborted and suspended)

If not what is the meaning for an allergy concern that is "suspended" or "aborted" for the purpose of an IPS ?


Assignment 2016-11-27 09:36:48 : Assigned To Rob Hausam by Giorgio Cangioli
 
 Allergy 
 
 CDA 
Description
Rob will evaluate the needed codes
Tracking / Status = In Progress 2016-11-15 16:04:02 : Tracking by Giorgio Cangioli
 
 Allergy 
 
 CDA 
Description
Finding:

Should we use the 4 values defined for the IHE PCC templates or the full ActStatusNormal value set ?

Call 25 Nov 2016:

- Define a minimal value set with the codes that are actually needed for an allergy concern
- for each selected code describe the meaning in this context



Further explanation:

-

Request for Information/Education Status = Cancelled ( hl7ips-issue-17 ): effectiveTime cardinality (Allergy Concern)
Type Request for Information/Education Status Request for Information/Education Status = Cancelled Priority Low
Current Labels
 
 (CDA) CDA Implementation 
 
 (Allergy) Allergy 
Events
Tracking / Status = Cancelled 2016-12-06 16:40:11 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
Description
It is required also for the IHE PCC
Tracking / Status = Open 2016-11-15 16:07:22 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
Description
Finding:

Should the effective time element Required (C-CDA) or Optional (IHE PCC) ?

Suggestion:

-

Further explanation:

-

 
 
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