AllergyIntoleranceCategory should be SNOMED - 2016-09 core #509

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    • Type: Change Request
    • Resolution: Not Persuasive with Modification
    • Priority: Medium
    • US Core (FHIR)
    • DSTU2
    • Patient Care
    • AllergyIntolerance [deprecated]
    • code system: Allergy
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      Remove the category value set hierarchy such that biologic is a sibling of medication (keeping it as 0.. CodeableConcept with Required binding to FHIR defined value set with an updated biologic definition)*

      *Medication *- Substances administered to achieve a physiological effect.
      *Biologic *- A preparation that is synthesized from living organisms or their products, especially a human or animal protein, such as a hormone or antitoxin, that is used as a diagnostic, preventive, or therapeutic agent. Examples of biologic medications include: vaccines; allergenic extracts, which are used for both diagnosis and treatment (for example, allergy shots); gene therapies; cellular therapies. There are other biologic products, such as tissues, that are not typically associated with allergies.

      Also, add usage note that the category should be used with caution because category is subjective based on the sender

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      Remove the category value set hierarchy such that biologic is a sibling of medication (keeping it as 0.. CodeableConcept with Required binding to FHIR defined value set with an updated biologic definition)* *Medication *- Substances administered to achieve a physiological effect. *Biologic *- A preparation that is synthesized from living organisms or their products, especially a human or animal protein, such as a hormone or antitoxin, that is used as a diagnostic, preventive, or therapeutic agent. Examples of biologic medications include: vaccines; allergenic extracts, which are used for both diagnosis and treatment (for example, allergy shots); gene therapies; cellular therapies. There are other biologic products, such as tissues, that are not typically associated with allergies. Also, add usage note that the category should be used with caution because category is subjective based on the sender
    • Michelle/Laura: 30-0-3
    • Enhancement
    • Non-compatible
    • DSTU2

      Existing Wording: The concepts in this code system are created in an HL7-FHIR specific code system.

      Comment:

      Where possible, I propose we use SNOMED CT for these concepts. The SCT concepts can be proposed to be included in the set of SCT concewpts to be made freely available by IHTSDO through HL7. The definitions are consistent with the presumed definitions in SCT and should be proposed to IHTSDIO as the official defnitions for these two SCT concepts. By using SCT concepts use of the FHIR resource is improved via potential ties to other SCT concepts for those implementers that choose to use SCT in general. For those that do not use SCT, use of the proposed SCT approach does not decrease the usability of the system when implementers only have access to the "freely available" SCT concepts.

      Summary:

      AllergyIntoleranceCategory should be SNOMED

            Assignee:
            Unassigned
            Reporter:
            Rob McClure
            Watchers:
            2 Start watching this issue

              Created:
              Updated:
              Resolved: