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IPS Reaction Manifestation
false
History (2)
Date Author Status Type
2017-12-14 11:08:18 Giorgio Cangioli Draft version
2017-07-19 11:29:01 Giorgio Cangioli Draft version
false
Issues (4)
false
Request for Information/Education Status = Closed ( hl7ips-issue-22 ): ID cardinality
Type Request for Information/Education Status Request for Information/Education Status = Closed Priority Lowest
Current Labels
 
 (eHDSI) For eHDSI consideration 
 
 (Allergy) Allergy 
 
 (CDA) CDA Implementation 
Events
Tracking / Status = Closed 2017-01-11 15:25:18 : Tracking by Giorgio Cangioli
 
 eHDSI 
 
 Allergy 
 
 CDA 
Description
call 20161221
cardinality 1...*
Tracking / Status = Open 2016-12-21 16:00:12 : Tracking by Giorgio Cangioli
 
 eHDSI 
 
 Allergy 
 
 CDA 
Description
Finding:

The cardinality of the OBS.ID in the epSOS specification is constrained to 1..1

Suggestion:

No reasons for having this restriction: leave the cardinality to 1...*

Further explanation:

-

Request for Information/Education Status = Closed ( hl7ips-issue-23 ): Usage of the observation code (and related value set )
Type Request for Information/Education Status Request for Information/Education Status = Closed Priority Normal
Current Labels
 
 (CDA) CDA Implementation 
 
 (Allergy) Allergy 
Events
Tracking / Status = Closed 2017-04-11 15:43:08 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
Description
See http://wiki.hl7.org/index.php?title=IPS_problemObservation
Tracking / Status = In Progress 2017-02-01 15:51:58 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
Tracking / Status = Open 2016-12-21 16:03:23 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
Description
Finding:

The way this element is used changes among the three implementations

  1. ASSERTION for C-CDA
  2. set of identified SNOMED Codes for epSOS (based on the IHE PCC suggested set)
  3. suggested SNOMED CT based value set (IHE PCC)
 
Suggestion:

-

Further explanation:

-

Request for Information/Education Status = Closed ( hl7ips-issue-24 ): Value set for adverse reactions
Type Request for Information/Education Status Request for Information/Education Status = Closed Priority Normal
Current Labels
 
 (CDA) CDA Implementation 
 
 (Allergy) Allergy 
 
 (eHDSI) For eHDSI consideration 
 
 (Vocab) Vocabularies 
Events
Tracking / Status = Closed 2020-01-29 12:30:19 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
 
 eHDSI 
 
 Vocab 
Description
agreement reached with the first STU publication
Tracking / Status = In Progress 2017-06-21 11:08:45 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
 
 eHDSI 
 
 Vocab 
Description
Suggested to consider a limited number of concpets (no more than 100 ?)

look at the experience in Cataluna / Spain.
Tracking / Status = Feedback needed 2017-05-24 16:15:10 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
 
 eHDSI 
 
 Vocab 
Assignment 2017-04-11 15:45:01 : Assigned To Rob Hausam by Giorgio Cangioli
 
 CDA 
 
 Allergy 
 
 eHDSI 
Tracking / Status = Feedback needed 2017-04-11 15:44:24 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
 
 eHDSI 
Description
A first proposal has been made see https://art-decor.org/art-decor/decor-valuesets--hl7ips-?id=2.16.840.1.113883.3.1937.777.13.11.11.

To be reviewed
Tracking / Status = Open 2017-02-01 15:50:08 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
 
 eHDSI 
Description
Stephan S. will provide a first proposal by January based on the work done in Austria.
Tracking / Status = Open 2016-12-21 16:05:35 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
Description
Finding:

The value set used for describing the adverse reactions changes among implementations 

  1. not specificed for IHE PCC
  2. an eneumerated list of reaction (SCT) for epSOS
  3. A value set of SNOMED-CT codes limited to terms descending from the Clinical Findings (404684003) or Situation with Explicit Context (243796009) hierarchies
Suggestion:

-

Further explanation:

-

Request for Information/Education Status = Closed ( hl7ips-issue-64 ): Consider to add an assert for the constraint
Type Request for Information/Education Status Request for Information/Education Status = Closed Priority Low
Current Labels
 
 (CDA) CDA Implementation 
 
 (Allergy) Allergy 
Events
Tracking / Status = Closed 2020-05-27 17:57:15 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
Description
useful, but not essential
Tracking / Status = Open 2017-05-03 12:07:46 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
Description
I was thinking about integrating the textual constraint with a check of the status reported in the [problem observation status].value.

In order to avoid to have a status active and the effectiveTime.high valued...

..but with a low priority...
Tracking / Status = Open 2017-05-03 10:20:19 : Tracking by Dr. Kai Heitmann
 
 CDA 
 
 Allergy 
Description
I think this is a textual constraint only. How to say that in schematron (known resolved = looking into the mind of the doctor)?
Tracking / Status = Open 2017-05-03 09:46:03 : Tracking by Giorgio Cangioli
 
 CDA 
 
 Allergy 
Description
Suggestion:

Consider to add a schematron assert for the constraint 
"If this condition is known to be resolved, then the effectiveTime/high would be present."

Further explanation:

-

 
 
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