Stream: netherlands
Topic: HCIM AllergyIntolerance - duplicative allergyStatus items?
Cliff Wu (May 28 2020 at 16:49):
In the HCIM for AllergyIntolerance, the status of an allergy (active, completed, and obsolete) is modelled in 2 elements--AllergyIntolerance.clinicalStatus and AllergyIntolerance.clinicalStatus.extension:AllergieStatusCodelijst. Is there a reason that there is a specific extension for this? Is there additional value (now, or in the future) that a Dutch-specific extension will provide for conveying allergy status? Otherwise, this seems like an opportunity to streamline the profile.
Groet/regards,
Cliff Wu-Maréchal
Epic Den Bosch
René Spronk (May 29 2020 at 09:28):
The HCIM probably mandates the use of a different coding system than the coding system used by the FHIR resource. Both may contain the very same concepts, but they're two different coding systems. For conformance reasons one has to have the extension.
Alexander Henket (Jun 09 2020 at 16:28):
The attached ConceptMap will probably be the best answer. https://simplifier.net/NictizSTU3-Zib2017/ZIB-AllergyIntolerance/~mappings
https://simplifier.net/NictizSTU3-Zib2017/AllergieStatusCodelijst-to-allergy-status will tell you that nullified is not handled in clinicalStatus
Generically speaking we have consistently tried to keep notion of the HCIM codes wherever FHIR required its own vocabulary.
Last updated: Apr 12 2022 at 19:14 UTC
