hl7-be / allergy Goto Github PK
View Code? Open in Web Editor NEWAllergy package from the Patient Dossier
License: Other
Allergy package from the Patient Dossier
License: Other
Do we set the cardinality of AllergyIntolerance .type to 0..0 or do we fill it with an equivalent value if available?
Solution 1:
Solution 2:
In another context, but for a similar problem, we already wrote this down: https://docs.google.com/document/d/170Gc3L4kuWzwyxIF0zgy7XPvZqmdWmhKS88bsIIJ-AQ/edit?usp=sharing
linked to #33
Business Rules Allergy V1.6 NL.docx
Business Rules Allergy V1.6 FR.docx
created because of #62
linked to #33
linked to #33
technical issue for expansion of SNOMED refsets
Hi,
When connecting to the newest version of the Implementation Guide for AllergyIntolerance using the NPMValidationSupport feature of HAPI, we notice an inconsistency in the profile definition.
As the cardinality of the field asserter is 0..1 we can conclude this is an optional property.
However the invariant be-inv-asserter-person-rel-type (defined in the list of constraints) is returning an error in case asserter is empty.
Is this behavior expected or can the invariant be extended with the following statement: ‘or asserter.empty()’ or should the cardinality of asserter change to 1..1?
Link to AllergyIntolerance.asserter:
https://www.ehealth.fgov.be/standards/fhir/allergy/StructureDefinition-be-allergyintolerance-definitions.html#AllergyIntolerance.asserter
Link to constraints:
https://www.ehealth.fgov.be/standards/fhir/allergy/StructureDefinition-be-allergyintolerance.html#constraints
Kind regards,
Brecht Van Vooren
Vitalink-FHIR
collect info from hl7-be/core (branch v2)
collect info from hl7-be/riziv-inami : logical model
.. and PractitionerRole / BePractitionerRole.
We should remove the "core" resources if we only want to use the BE ones.
Some discussion here:
https://jira.hl7.org/browse/FHIR-35879
La problématique des différents types de classifications d’allergie a été exposée lors du congrès HL7 International le 21 septembre à Baltimore, la décision du groupe a été de changer le type vers un CodeableConcept, et laisser le binding strength « preferred ». Cela nous permet finalement d’utiliser un value set avec les types « Allergy », « Non-allergic hypersensitivity » et « Intolerance ».
Techniquement, ce changement sera dans la nouvelle version FHIR R5 (Mid-2023), mais il peut être adopté immédiatement via une extension puisque FHIR permet/préconise d’importer des éléments de la R5 comme extensions, en évitant une extension belge.
This might be more useful for the medical record, but this concept gives a clear view on the problem. The attribute i'd like to discuss is AllergyIntolerance.reaction.exposureRoute
There exists a Kmehr table for drug administrations. This table is used in for example the current prescription and the vitalink concepts.
For the FHIR build we fully commit to the snomed CT standards, which I fully commit.
I do wonder if we need to explore the concept of mappings, for example between the kmehr drug administration routes and for example the Snomed CT Routes.
It's also fine if this development happens on a case-by-case basis, but it feels useful to explore this as an answer to questions that will inevitably arise on how to translate current kmehr - interfaces to fhir - interfaces in my opinion.
In fhir this is called a concept map, and equivalence can be expressed with this value set.
- Can we add rules for:
Beschrijving | Rol | VerificationStatus |
---|---|---|
Ingave van de gegevens door de patiënt | Patiënt | Unconfirmed |
Arts ontvangt positief testresultaat* | Arts | Confirmed |
Arts ontvangt negatief testresultaat* | Arts | Refuted |
Patiënt vertelt zorgverlener dat hij/zij allergisch is | Zorgverlener KB 78 (specificeer) | Unconfirmed |
release because of vaccination: hl7-be/vaccination#67
In een Belgische context kan een organisatie ook optreden als actor (zie COT kader): de referentie naar BeOrganization ontbreekt.
linked to #33
linked to #33
The recorder is a physical person who takes responsibility for the encoded information. It will therefore be identified by the NISS or NISS bis (mandatory)
But, it is possible to add other information such as the INAMI number, the name and first name, the role, or even the organization. Adding this additional information is optional but highly recommended.
@[email protected]
Based on document #63
Bonjour,
Et donc si je lis bien les modifications, comme ça, sur base de la CoW qui sont des fournisseurs de logiciel, sans réunion de ceux qui ont écrit les business rules de départ, on supprime l'hypersensibilité non allergique, un paramètre clinique qu'on s'est battu à SNOMED international pour faire reconnaître dans le modèle HL7 FHIR international jusqu'au Patient Care Group et pour lequel SNOMED on FHIR a crée spécialement une extension?
Franchement, je n'ai pas de mots.
Bien à vous
Dr LAMBOT Marie-Alexandra
Adjointe à la direction médicale
+32 2 535 49 80
Decision:
Add to the AllergyIntolerance.recorder definition the following text:
...
Since the reference does not support BeOrganization, the BePractitionerRole resource/reference SHALL be used to refer to an organization when needed.
Approved with no abstention on 17-03
after FHIR/ig-registry#95 and publication
use only the code 716186003 and not other. (delete the other code like 716220001 no known animal allergy or 409137002 no known drug allergy, ...)
from #9
J’ai aussi une petite remarque par rapport au modèle logique :
On peut avoir plusieurs manifestations cardinality of reactions must be 0..*
Mail Anne Nerenhausen
no allergy: only the first (general) code #21
the other list in the email.
A declarative, efficient, and flexible JavaScript library for building user interfaces.
🖖 Vue.js is a progressive, incrementally-adoptable JavaScript framework for building UI on the web.
TypeScript is a superset of JavaScript that compiles to clean JavaScript output.
An Open Source Machine Learning Framework for Everyone
The Web framework for perfectionists with deadlines.
A PHP framework for web artisans
Bring data to life with SVG, Canvas and HTML. 📊📈🎉
JavaScript (JS) is a lightweight interpreted programming language with first-class functions.
Some thing interesting about web. New door for the world.
A server is a program made to process requests and deliver data to clients.
Machine learning is a way of modeling and interpreting data that allows a piece of software to respond intelligently.
Some thing interesting about visualization, use data art
Some thing interesting about game, make everyone happy.
We are working to build community through open source technology. NB: members must have two-factor auth.
Open source projects and samples from Microsoft.
Google ❤️ Open Source for everyone.
Alibaba Open Source for everyone
Data-Driven Documents codes.
China tencent open source team.