DECOR Information for Project: International Patient Summary (IPS) (hl7ips-)

Identify/Request  a LOINC code (or SNOMED ?) for criticality

The LOINC code exists. Here it is: 82606-5 |Allergy or intolerance criticality|                  [ More detail on: https://s.details.loinc.org/LOINC/82606-5.html?sections=Simple ]

Further explanation:

-

• In a patient summary we need only "completed" and "active". An observation not performed or aborted or held … is of no interest to a patient summary. In most cases, only “completed” observations are of interest to the summary. In some rare cases, though, it may be useful to include also an "active" observation in the patient summary.
• 
  

• Issue 48 "IPS Comment Activity: schematron test assertion" with status "Open". See the issue for all details. Last event (2017-05-02T12:00:53):

  Not clear to me why the not(@value ) is checked since this attribute is required.

  And why the test is not simply not(starts-with(@value, ‘#’)).
  
  Thanks for explanations.

• Issue 49 "results observation: choice for the " with status "Closed". See the issue for all details. Last event (2017-06-07T16:30:53):
  included a choice for the observation.values
• Issue 50 "VS binding missing for methodCode and targetSiteCode" with status "Open". See the issue for all details. Last event (2017-05-02T12:15:14):
  Finding:

  Define and add a value set for the methodCode and  targetSiteCode coded elements

  Suggestion:

  -

  Further explanation:

  -

• Issue 51 "result observation: full SCT binding" with status "Open". See the issue for all details. Last event (2017-05-02T12:27:24):
  Finding:

  for some of the used coded element : e.g. targetSiteCode.qualifier.value the full snomed ct is referenced.
  
  Is such a level of detail relevant for the IPS ? 
  In case should we select a restricted value set for these elements ?
  
  is this correct in this context ?
  

  • in case is this the way we'd like to adopt when a full code system is referenced (should we define a value set defined as the full snomed ct ?)

  the same applies to other element in this template and other related templates of the result section
  
  Suggestion:
  

  -

  Further explanation:

  -

• Issue 52 "Specimen hl7:performer to be defined" with status "Closed". See the issue for all details. Last event (2017-06-07T18:56:14):
  performer removed, examples cleaned, and descriptions refined, explaining what data is provided by this template and, which element carries each of these data
• Issue 53 "Specification of the type of specimen" with status "Closed". See the issue for all details. Last event (2017-06-07T19:01:45):
  Clarifications brought to the template, and example cleaned.
• Issue 54 "Missing VSs for methodCode,approachSiteCode and targetSiteCode" with status "Open". See the issue for all details. Last event (2017-05-02T13:15:46):
  Finding:

  No value sets have been defined for these elements.
  
  
  

  Suggestion:

  -

  Further explanation:

  -

• Issue 55 "No value set for the procedure code" with status "Feedback needed". See the issue for all details. Last event (2017-06-01T08:49:40):
  Did we not agree to start with the CORE Problem List Procedures http://art-decor.org/art-decor/decor-valuesets--hl7ips-?id=2.16.840.1.113883.11.22.6amp;effectiveDate=2017-02-01T00:00:00 for the ballot first?
• Issue 56 "entry text reference specification to be aligned" with status "In Progress". See the issue for all details. Last event (2017-05-02T16:58:40):
  Maybe we can think about a template fragment for all the texts to be included wherever appropriate...
• Issue 57 "Medical Device supply.code: value set binding missing" with status "Open". See the issue for all details. Last event (2017-05-02T15:36:16):
  Finding:

  No bindings have been defined for this element.
  should we omit the element ?
  Is this correct ? Should be added some description explaining how it should be used ?

  Suggestion:

  -

  Further explanation:

  -

• Issue 58 "Check Devices VS content" with status "In Progress". See the issue for all details. Last event (2017-06-21T15:06:50):
  Proposed on the previous call to use an intensional definition as 
  all descendants of 40388003 |Implant, device (physical object)
  
  The expansion of this value set needs to be checked against the eHDSI value set currently listed in the value set.
  
  Update with the value set expansion .... 
• Issue 59 "Immunization manufacturedMaterial.code value set missing" with status "Closed". See the issue for all details. Last event (2017-05-24T16:14:02):
  1. defined two new value sets (one for the unknown infos and one for the vaccines)
     
  2. added the binding 
     
• Issue 60 "Add assert for the defined constraint" with status "Open". See the issue for all details. Last event (2017-05-02T18:16:17):
  Finding:

  add an assert for the constraint If the statusCode is completed this element is required

  Suggestion:

  -

  Further explanation:

  -

• Issue 61 "LOINC Code for the CertaintyObservation code" with status "Open". See the issue for all details. Last event (2017-05-11T09:57:27):
  (1) Check for a LOINC code
  (2) is the FHIR value set that should be used for the value ? (Suggestions received to use  SCT)
• Issue 62 "rename VS" with status "Closed". See the issue for all details. Last event (2017-05-24T16:26:18):
  renamed
• Issue 63 "IPS condition status code to be defined" with status "Closed". See the issue for all details. Last event (2017-05-24T15:46:03):
  1. Updated the values set according to the data sent by Stephen Chu after the PC call of 23rd of may
     
  2. add a new value set for the allergy statuses
     
  3. created a new specialized template for handling this (allergy statuses observation)
     
• Issue 64 "Consider to add an assert for the constraint" with status "Open". See the issue for all details. Last event (2017-05-03T12:07:46):
  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...
  
• Issue 65 "Clarify how to express intensional VSs" with status "Closed". See the issue for all details. Last event (2017-07-19T10:22:39):
  feature implemented for "simple" intensional definitions
• Issue 66 "Value set for substances to be specified" with status "Closed". See the issue for all details. Last event (2017-06-21T11:11:52):
• Issue 67 "Two templates for the problem status" with status "Closed". See the issue for all details. Last event (2017-05-03T10:07:43):
  They were actually the same template.  Templates have been updated in order to use only one (the other has been cancelled)
• Issue 68 "Define the value set for hl7:routeCode" with status "Closed". See the issue for all details. Last event (2017-06-21T11:10:53):
  An intensional definition of the value set - based on EDQM - has been used.
• Issue 69 "Add ASSERTs for the defined constraints" with status "Open". See the issue for all details. Last event (2017-06-21T11:13:14):
• Issue 70 "Split the effectiveTime element with a choice" with status "Closed". See the issue for all details. Last event (2017-05-23T20:02:40):
  Choice added for differentiating the differtn data types
• Issue 71 "Add a choice for the doseQuantity" with status "Closed". See the issue for all details. Last event (2017-05-03T18:24:52):
  I think it is sufficient to have at least two examples for single quantity and range quantity. We handle that elsewhere in the same way and I don't see the need to really add a choice.
• Issue 72 "Add value set for event time" with status "Closed". See the issue for all details. Last event (2017-05-23T20:00:13):
  Added and bindings
• Issue 73 "Value set for doseQuantity and capacityQuantity unit" with status "In Progress". See the issue for all details. Last event (2017-05-19T16:55:43):
  Discussed in Madrid:
  

  1. clean up the UCUM based values sets (create a new issue)
  2. include a first set of examples of UCUM annotations from the Austrian value set
  3. allow for CWE (open) binding
• Issue 74 "Doseform value set to be reviewed" with status "Closed". See the issue for all details. Last event (2017-06-21T14:47:03):
  An intensional definition based on EDQM has been used 
• Issue 75 "Package value set to be reviewed" with status "Closed". See the issue for all details. Last event (2017-06-21T11:13:29):
• Issue 76 "Quantity Units value set to be reviewed" with status "In Progress". See the issue for all details. Last event (2017-06-07T16:02:17):
  1. Use the Austrian value set as reference and cleaned up that content for the quantity purpose (with the other UCUM based value sets)
  2. add the revise value set in ART DECOR
• Issue 77 "Define Value sets for medicine strength" with status "In Progress". See the issue for all details. Last event (2017-05-10T16:52:05):
• Issue 78 "Define a value set for the active substances" with status "Closed". See the issue for all details. Last event (2017-06-21T11:12:44):
• Issue 79 "Harmonize the names of the value sets" with status "Open". See the issue for all details. Last event (2017-06-07T18:12:10):
• Issue 80 "Harmonize the names of the templates" with status "Open". See the issue for all details. Last event (2017-05-03T13:08:19):

  When all the templates are specified, harmonize as possible the unique and the display names of the templates

• Issue 81 "Is IPS ObservationMedia used ?" with status "Closed". See the issue for all details. Last event (2017-06-08T09:54:37):
  IPSObservationMedia is used by IPSResultOrganizer
• Issue 82 "Change the rule for language from nn-CC ?" with status "In Progress". See the issue for all details. Last event (2017-05-10T17:47:23):
• Issue 83 "Update the EDQM OID (Value Sets)" with status "Closed". See the issue for all details. Last event (2017-07-06T22:01:36):
  998x done
• Issue 84 "How remove the refrence to the human language value set ?" with status "In Progress". See the issue for all details. Last event (2017-07-19T10:20:02):
  If the Value Set is no longer used in the project you can remove the reference to it by clicking on the delete X in the Value Set Bar in the viewer.
• Issue 85 "Check the condition verification statuses" with status "Closed". See the issue for all details. Last event (2017-06-21T11:15:47):
  Added unconfirmed according to the Stephen's mail of June 17th
• Issue 86 "Section description not aligned with the real structure" with status "Closed". See the issue for all details. Last event (2017-05-31T16:58:34):
  Description updated
• Issue 87 "Author functionCode missing value set" with status "Open". See the issue for all details. Last event (2017-06-12T14:19:05):
  Finding:

  No value set has been defined for the author/functionCode.
  
  

  Suggestion:

  -

  Further explanation:

  -

• Issue 88 "Add device author example" with status "Closed". See the issue for all details. Last event (2017-06-21T11:04:11):
  added
• Issue 89 "assignedAuthor with no assignedPerson or assignedAuthoringDevice" with status "Open". See the issue for all details. Last event (2017-06-12T17:30:37):
  Actually...this constraint is already there what we need to decide if if we'd like to add an assert that say if assignedPerson and  assignedAuthoringDevice are missing the  ClinicalDocument/author/assignedAuthor/id/@NullFlavor shall be "NA".
  
  (b) should in this case consider the opposite  if it is "NA" the  assignedPerson and  assignedAuthoringDevice  shall be omitted ?
  (c) should we add that in this case the representedOrganization shall be present ?
• Issue 90 "Author code value set and description" with status "Open". See the issue for all details. Last event (2017-06-12T14:32:22):
  Finding:

  Should we define a value set associated with the author.code ?
  
  should we add a description for this element  ?

  Suggestion:

  -

  Further explanation:

  -

• Issue 91 "Other kinds of participants" with status "Closed". See the issue for all details. Last event (2017-06-21T11:29:33):
  Leave only the patient contact template. The contact may be a person or an organization.
  other kind of participation are covered by the openness of the template.
• Issue 92 "Rational for the use of concern act (allergy)" with status "Closed". See the issue for all details. Last event (2017-06-14T18:42:05):
  Based on the discussion made during the call of June 14th 
  It has been agreed "Add a sentence that says that a concern may include more than one allergy conditions."
  
  Giorgio: Done
• Issue 93 "Rename the template (Allergies)" with status "Closed". See the issue for all details. Last event (2017-06-14T09:37:34):
  Great proposal, helps understanding, great action on changing the name.
• Issue 94 " No-drug substances revise defiinition" with status "Closed". See the issue for all details. Last event (2017-06-13T09:34:01):
  The definition has been updated
• Issue 95 "epSOSPersonalRelationship patient contact" with status "Closed". See the issue for all details. Last event (2017-07-18T10:38:29):
  The template has been maintained as patient contact, so there is no need to rename
• Issue 96 "Patient Contact : is the "choice" needed ?" with status "Closed". See the issue for all details. Last event (2017-06-21T11:27:08):
  changed applied
• Issue 97 "documentationOf code missing VS" with status "Closed". See the issue for all details. Last event (2017-06-21T18:32:45):
  omit the element
• Issue 98 "performer functionCode should be required ?" with status "Closed". See the issue for all details. Last event (2017-06-21T15:36:23):
  Changed as optional
• Issue 99 "Value set for the performer functionCode (epSOSHealthcareProfessionalRoles)" with status "Closed". See the issue for all details. Last event (2017-07-18T10:26:42):
  A new value set without the prefix epSOS has been created
• Issue 100 "OID for the ISCO code system" with status "Closed". See the issue for all details. Last event (2017-06-15T11:45:37):
  Leave as it is now, waiting for possible comments
• Issue 101 "Update the IPS OID root" with status "Closed". See the issue for all details. Last event (2017-07-06T22:02:32):
  All converted to: Templates 2.16.840.1.113883.10.22 / Value Sets  2.16.840.1.113883.11.22
• Issue 102 "IPSBodyAuthor inclusion" with status "Closed". See the issue for all details. Last event (2017-06-15T11:10:39):
• Issue 103 "harmonize templates for the section level author" with status "Closed". See the issue for all details. Last event (2017-06-15T11:41:12):
  the IPSBodyAuthor template has been updated including also device author, all the section authors has been updated to the IPSBodyAuthor 
• Issue 104 "Remove associated concepts in templates" with status "Closed". See the issue for all details. Last event (2017-06-14T18:47:26):
  All the temnplate mapping (should) have been removed
• Issue 105 "hl7:doseQuantity examples to be checked" with status "Open". See the issue for all details. Last event (2017-06-21T15:18:30):
  - revise the descriptions of the examples; 
  - obtain from the Pharma group some exaples to be reported here
• Issue 106 "Subordinate SubstanceAdministration as separate template" with status "Closed". See the issue for all details. Last event (2017-06-15T14:35:17):
  Done
• Issue 107 "Should we limit the SocialHistory Types ? " with status "Closed". See the issue for all details. Last event (2017-07-12T17:04:30):
  Specialized Alcohol consumption and tobacco use templates have been added, so this issue is no more applicable 
  (at least for this version of the template)
• Issue 108 "Check contextConductionInd (entry / sections)" with status "Closed". See the issue for all details. Last event (2017-07-19T10:23:50):
• Issue 109 "Immunizations without immunoglobulins etc?" with status "Open". See the issue for all details. Last event (2017-06-29T11:36:56):
  Finding:

  This value set does not include any Antiserum AND/OR toxoid or Immunoglobulin products. Is that the intention to explicitly exclude "immunisations" using immunoglobulins etc?

  Suggestion:

  Use descendants of 350326008 Vaccine, immunoglobulins and antisera (product)

• Issue 110 "Missing Present x plus out of three plus" with status "Feedback needed". See the issue for all details. Last event (2017-07-19T19:54:41):
  Done, created the actual value set
• Issue 111 "64572001 Condition -> Disease" with status "In Progress". See the issue for all details. Last event (2017-07-07T15:53:33):
  From todays call: Do we want to find a code that better reflects the original intention or do we stick with the code for disease?
• Issue 112 "282291009 Diagnosis interpretation (observable entity) " with status "Closed". See the issue for all details. Last event (2017-07-07T15:56:37):
  Corrected to 439401001 Diagnosis (observable entity)
• Issue 113 "Meaning of SCTID: 418799008 " with status "Closed". See the issue for all details. Last event (2017-07-07T15:54:11):
  Displayname corrected
• Issue 114 "Section LOINC code wrong" with status "Closed". See the issue for all details. Last event (2017-07-18T10:35:29):
  The section code has been updated
• Issue 115 "Why copy of usual comment templates" with status "Deferred". See the issue for all details. Last event (2017-07-12T18:46:14):
  There are actually THREE official Comment Entry Templates:
  

  • 2.16.840.1.113883.10.20.1.40 Comment - in HL7 CCD
    
  • 1.3.6.1.4.1.19376.1.5.3.1.4.2 IHE Comment Entry - in IHE PCC
    
  • 2.16.840.1.113883.10.20.22.4.64 Comment Activity - in HL7 C-CDA

  and now ours

  • 2.16.840.1.113883.10.22.4.22 IPS Comment Activity - in HL7 IPS

  It must appear as ridiculous to anybody outside (and hopefully also to us "insiders") if such an easy thing like a "comment activity" (entry) has three official live forms. Please also note that all of them carry the same semantics.
  
  

  However, we dicided today in the call to stay with our fourth live form to enforce consolidation.
• Issue 116 "Diagnosis is a observable entity" with status "Open". See the issue for all details. Last event (2017-07-07T15:48:49):
  Finding:

  439401001 Diagnosis is a observable entity, we do not have it as a finding as the other items in the value set

• Issue 117 "Result Organizer with ObservationMedia?" with status "Open". See the issue for all details. Last event (2017-07-12T16:52:12):
  See also on this purpose issue#81 "Is IPS ObservationMedia used ?" 
   https://art-decor.org/art-decor/decor-issues--hl7ips-?id=2.16.840.1.113883.3.1937.777.13.6.81
• Issue 118 "Add title ?" with status "Closed". See the issue for all details. Last event (2017-07-18T12:20:15):
  Title added in  the translation section
• Issue 119 "Add the translation section to the section templates" with status "Closed". See the issue for all details. Last event (2017-07-18T11:15:00):
  done
• Issue 120 "Intensional definition" with status "Closed". See the issue for all details. Last event (2017-07-20T14:42:54):
  I created proper intensional definitions for the following value sets:

  • IPS Medical Devices hl7ips-valueset-23
    
  • Medicine Active Substances hl7ips-valueset-32
    
  • IPS No Drug Substances hl7ips-valueset-34
    
  • IPS Procedures hl7ips-valueset-35
    
  • IPS Vaccines hl7ips-valueset-44

  As of now I am unable to express the intensional rules for the following value sets. I left the verbose definition:
  

  • Medicine Route of Administration (EDQM)
    
  • Medicine Doseform (EDQM)
    
  • Medicine Package (EDQM)
    
  • IPS Results Observation Radiology
    
  • IPS Results Observation Laboratory
    
  • IPS Multingredients Products

  
  
• Issue 121 "Value sets to be defined" with status "Open". See the issue for all details. Last event (2017-07-18T11:55:14):
  Finding:

  there is no definition for the :
  

  • IPS Results Coded Values Pathology and 
    
  • IPS Results Coded Values Radiology
  • IPS Results Microorganism

  value sets
  
  Suggestion:

  -

  Further explanation:

  -

• Issue 122 "Visualization of union of VSs" with status "Open". See the issue for all details. Last event (2017-07-19T10:21:01):
  Finding:

  When a value set is defined as an union of other value sets it would be nice if this information would be shown in the main window and not only as part of the textual description if provided.

  Suggestion:

  -

  Further explanation:

  -

• Issue 123 "Change proposals for LOINC" with status "Open". See the issue for all details. Last event (2017-07-19T10:32:59):
  Finding:

  I suggest to prepare a change proposal for LOINC to :
  - request a new code for certainty
  - revise the description of the (main) Patient Summary code (align with our definition)
  - revise the description for the Patient Summary unexpected care code. It should be a specialization of the previous one for human curated PSs.
  - request a new code for Patient Summary as specialization of the previous one for assembled PSs
  
  It would be nice if we could prepare a sections ontology for the PS (maybe after the publication...)

  Suggestion:

  -

  Further explanation:

  -

• Issue 124 "Check sections' flexibility" with status "Closed". See the issue for all details. Last event (2017-07-19T12:45:05):
  Updated all the flexibility to dynamic
• Issue 125 "Check vocabulary and template flexibility" with status "Feedback needed". See the issue for all details. Last event (2017-07-19T12:46:28):
  Revised all the used templates and harmonized the use of flexibility.
  
  to be reviewed
• Issue 126 "Check choice items' representation" with status "In Progress". See the issue for all details. Last event (2017-07-19T12:45:14):
  Choices of values in this context must be manually predicated, i.e. hl7:value[@xsi:type='PQ'] etc. In that context, the Schematron engine cannot guess what predicate to use, so it needs to added by hand.
• Issue 127 "Constrained template for the PlayingEntity" with status "Open". See the issue for all details. Last event (2017-07-19T12:43:16):
  Finding:

  for the specimen collection is generically contained the CDA PlayingEntity template.
  
  Suggestion:
  

  Consider to define a more specific template that will allow to define the vocabulry constraints when it is used for specimen collection
  
  Further explanation:

  -

• Issue 128 "Revise the template description " with status "Closed". See the issue for all details. Last event (2017-07-21T09:35:49):
• Issue 129 "Revise the template description" with status "Closed". See the issue for all details. Last event (2017-07-21T09:33:46):
  Decscription updated
• Issue 130 "Examples to be revised (template IDs)" with status "Feedback needed". See the issue for all details. Last event (2017-07-21T09:30:34):
  revised also the entry level templates..