Stream: implementers
Topic: ICD-10 Codes Failing Validation for Diagnosis
Brian Rickabaugh (Apr 27 2020 at 14:32):
I am working on ExplanationOfBenefit and Claim resources that use ICD-10 codes for diagnosis elements. The JSON documents I'm writing are failing validation with errors indicating that the codes I am using are not valid in the system http://hl7.org/fhir/sid/icd-10. I tried testing validation of one of the examples at fhir.org (http://hl7.org/fhir/claim-example-cms1500-medical.json.html) and it failed validation also. I am using the Java validator.
The code that I am using is G89.4.
Thanks in advance for any help that you could provide.
Brian
Lloyd McKenzie (Apr 27 2020 at 15:03):
@Rob Hausam
Nathan Hedberg (Jul 22 2021 at 18:34):
Brian Rickabaugh said:
I am working on ExplanationOfBenefit and Claim resources that use ICD-10 codes for diagnosis elements. The JSON documents I'm writing are failing validation with errors indicating that the codes I am using are not valid in the system http://hl7.org/fhir/sid/icd-10. I tried testing validation of one of the examples at fhir.org (http://hl7.org/fhir/claim-example-cms1500-medical.json.html) and it failed validation also. I am using the Java validator.
The code that I am using is G89.4.
Thanks in advance for any help that you could provide.
Brian
Greetings! First post here, be gentle :)
We are experiencing the same issue, in that all codes tried against http://hl7.org/fhir/sid/icd-10-cm are returning the message "Internal Error - unknown id icd-10-cm (from crsid.asp) " (exact message example from validator below). Googling around I have seen a few other mentions of this same issue (mostly from last year) but no resolution. Is this system expected to be fully functional at present / is the guidance on https://www.hl7.org/fhir/icd.html still correct? Or should we be using another reference for now? If I look up the OID 2.16.840.1.113883.6.90 at http://www.hl7.org/oid/index.cfm?ref=nav it seems like the directory should be the one at https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.90.
ERROR: The code "O0933" is not valid in the system http://hl7.org/fhir/sid/icd-10-cm; The code provided (http://hl7.org/fhir/sid/icd-10-cm#O0933) is not valid in the value set 'All codes known to the system' for 'http://hl7.org/fhir/sid/icd-10-cm#O0933'. Location: ExplanationOfBenefit.diagnosis[0].diagnosis.ofType(CodeableConcept).coding[0] (line 1, col 4109).
@Lloyd McKenzie @Rob Hausam
Thanks!
Nate
Rob Hausam (Jul 22 2021 at 19:41):
@Nathan Hedberg Are you using ICD-10 or ICD-10-CM? I'm seeing both urls here. They are different code systems, and we support and should have all of the codes for both - and of course they do need to be specified consistently. I can try to check these particular codes in a little while. If this was run earlier while the CI build was pointed to Ontoserver rather than tx.fhir.org, it is possible that the Ontoserver instance doesn't have support for ICD-10-CM (the US version). If so you could re-run it (and delete the txcache files first, if necessary) and see if that might fix it.
Nathan Hedberg (Jul 22 2021 at 19:51):
Hi @Rob Hausam - thanks for the quick reply, and sorry for mixing the references here - for the issue at hand we are specifically looking at ICD-10-CM, run just in the last few days and getting the error displayed. I just tagged this older post (on ICD-10) as it seemed the most related to the issue at hand and figured I'd tie them together for any future inquiries along the same lines rather than starting a brand new thread. Will try re-running again after a cache clear and report back @Mike Carson
Rob Hausam (Jul 22 2021 at 20:08):
Sounds good. Let us know how it goes - and if there are still issues we'll see what we need to look at.
Last updated: Apr 12 2022 at 19:14 UTC
