Stream: terminology
Topic: tx.fhir.org failed validate icd-10 code
Yunwei Wang (Jun 18 2020 at 20:43):
Here is the request: http://tx.fhir.org/r4/ValueSet/$validate-code?code=I63.9&system=http://hl7.org/fhir/sid/icd-10
Here is the response:
{
"resourceType" : "Parameters",
"parameter" : [
{
"name" : "result",
"valueBoolean" : false
},
{
"name" : "message",
"valueString" : "Code \"I63.9\" not found; The code \"I63.9\" is not valid in the system http://hl7.org/fhir/sid/icd-10; The code provided (http://hl7.org/fhir/sid/icd-10#I63.9) is not valid in the value set All codes known to the system"
},
{
"name" : "cause",
"valueString" : "invalid"
}
]
}
Jim Steel (Jun 18 2020 at 20:52):
Nothing to do with the missing code, but it is interesting that in the absence of a url parameter, the server falls through to validating against the all codes ValueSet for the CodeSystem
Jim Steel (Jun 18 2020 at 20:52):
I kinda like that
Yunwei Wang (Jun 18 2020 at 20:59):
Ha. I haven't used direct url to validate value for sometime. Kindly forgot what parameters I need to use. Let me try again.
Jim Steel (Jun 18 2020 at 20:59):
Oh, I don't think its causing your problem
Jim Steel (Jun 18 2020 at 20:59):
I have the same response from CodeSystem/$validate-code
Jim Steel (Jun 18 2020 at 21:00):
Is the code specific to ICD-10-CM?
Jim Steel (Jun 18 2020 at 21:01):
Hmm, I do have it in ICD-10-GM
Grahame Grieve (Jun 18 2020 at 23:26):
I think this is part of the general problem with IDD-10 - @Rob Hausam ?
Peter Jordan (Jun 19 2020 at 05:49):
It validates fine as an ICD-10-AM Code on my Server...
https://terminz.azurewebsites.net/fhir/CodeSystem/$validate-code?url=http://health.govt.nz/icd-10-am-achi-acs&code=I63.9
Grahame Grieve (Jun 19 2020 at 06:19):
where did you get the ICD-10-AM source? I think we haven't tried to load ICD-10-AM on tx.fhir.org?
Peter Jordan (Jun 19 2020 at 07:38):
The NZ Ministry of Health. I had to sign a Confidentiality Undertaking with the Ministry under New Zealand's AR-DRG Classification System Licence Agreement. I was directed to them by IHPA. The Ministry then provided me with the current ICD-10-AM Edition used in New Zealand - ICD-10-AM Eleventh Edition, implemented 1 July 2019.
Grahame Grieve (Jun 19 2020 at 07:45):
so you can publish them
Peter Jordan (Jun 19 2020 at 08:07):
I'm allowed to put the codes up on my server for non-commercial purposes and...
"they are for New Zealand use only and the codes in their entirety cannot be downloaded by third parties."
"...must also ensure multiple copies of the codes are not created and/or stored on unsecured shared drives."
"...must not distribute this code table to a third party without first receiving consent from the Ministry of Health. "
Rob Hausam (Jun 19 2020 at 13:27):
Yes, this is part of the general problem with ICD-10 - I63.9 isn't presently in the list of supported codes. At the present time we've been adding codes by request as needed - and we can add this one, too, if that will be of help. If we can work out a solution similar to what Peter has with ICD-10-AM, we'll be much better off.
Yunwei Wang (Jun 19 2020 at 13:33):
What is IDD-10?
Rob Hausam (Jun 19 2020 at 16:28):
Sorry, Yunwei - just a typo - meant ICD-10.
Yunwei Wang (Jun 19 2020 at 16:57):
NP. What do you mean "I63.9 isn't presently in the list of supported codes". I can get the code on icd10data.com
Rob Hausam (Jun 19 2020 at 17:44):
I meant supported on tx.fhir.org.
Jean Duteau (Oct 14 2020 at 16:40):
@Rob Hausam Do you have a list of ICD-10 codes that are on tx.fhir.org? I just tried a search and I don't get any back. I just need some ICD-10 code to put in an example.
Rob Hausam (Oct 14 2020 at 16:49):
@Jean Duteau Yes, I do. This is what should be available now:
icd-10 http://hl7.org/fhir/sid/icd-10-cm cm Clinical Modification (US)
E00-E89 Endocrine, nutritional and metabolic diseases Endocrine, nutritional and metabolic diseases
E70-E88 Metabolic disorders Metabolic disorders
E84 Cystic fibrosis Cystic fibrosis
E84.0 Cystic fibrosis with pulmonary manifestations Cystic fibrosis with pulmonary manifestations
M00-M99 Diseases of the musculoskeletal system and connective tissue Diseases of the musculoskeletal system and connective tissue
M40-M54 Dorsopathies Dorsopathies
M45-M49 Spondylopathies Spondylopathies
M47 Spondylosis Spondylosis
M47.0† Anterior spinal and vertebral artery compression syndromes Anterior spinal and vertebral artery compression syndromes
M47.1 Other spondylosis with myelopathy Other spondylosis with myelopathy
M47.2 Other spondylosis with radiculopathy Other spondylosis with radiculopathy
M47.8 Other spondylosis Other spondylosis
M47.81 Spondylosis without myelopathy or radiculopathy Spondylosis without myelopathy or radiculopathy
M47.816 Spondylosis without myelopathy or radiculopathy, lumbar region Spondylosis without myelopathy or radiculopathy, lumbar region
M47.9 Spondylosis, unspecified Spondylosis, unspecified
M50-54 Other dorsopathies Other dorsopathies
M53 Other dorsopathies, not elsewhere classified Other dorsopathies, not elsewhere classified
M53.0 Cervicocranial syndrome Cervicocranial syndrome
M53.1 Cervicobrachial syndrome Cervicobrachial syndrome
M53.2 Spinal instabilities Spinal instabilities
M53.3 Sacrococcygeal disorders, not elsewhere classified Sacrococcygeal disorders, not elsewhere classified
M53.8 Other specified dorsopathies Other specified dorsopathies
M53.88 Other specified dorsopathies, sacral and sacrococcygeal region Other specified dorsopathies, sacral and sacrococcygeal region
M53.9 Dorsopathy, unspecified Dorsopathy, unspecified
M95-M99 Other disorders of the musculoskeletal system and connective tissue Other disorders of the musculoskeletal system and connective tissue
M96 Postprocedural musculoskeletal disorders, not elsewhere classified Postprocedural musculoskeletal disorders, not elsewhere classified
M96.0 Pseudarthrosis after fusion or arthrodesis Pseudarthrosis after fusion or arthrodesis
M96.1 Postlaminectomy syndrome, not elsewhere classified Postlaminectomy syndrome, not elsewhere classified
M96.2 Postradiation kyphosis Postradiation kyphosis
M96.3 Postlaminectomy kyphosis Postlaminectomy kyphosis
M96.4 Postsurgical lordosis Postsurgical lordosis
M96.5 Postradiation scoliosis Postradiation scoliosis
M96.6 Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate Fracture of bone following insertion of orthopaedic implant, joint prosthesis, or bone plate
M96.8 Other postprocedural musculoskeletal disorders Other postprocedural musculoskeletal disorders
M96.9 Postprocedural musculoskeletal disorder, unspecified Postprocedural musculoskeletal disorder, unspecified
G00-99 Diseases of the nervous system Diseases of the nervous system
G89-99 Other disorders of the nervous system Other disorders of the nervous system
G89 Pain, not elsewhere classified Pain, not elsewhere classified
G89.4 Chronic pain syndrome Chronic pain syndrome
R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R50-R69 General symptoms and signs General symptoms and signs
R52 Pain, unspecified Pain, unspecified
I know I keep saying it and it has kept getting delayed, but hopefully within the next couple of days we will actually have the full list of codes available.
Rob Hausam (Oct 14 2020 at 16:52):
I think that the "grouping header" codes (e.g. 'E00-E89') will probably go away in the full representation, as they are conveniences for navigation and aren't actually "real" codes.
Jean Duteau (Oct 14 2020 at 17:00):
do you know how I can search for those on the server? Everything I try to search for systems returns 0 results.
Rob Hausam (Oct 14 2020 at 17:04):
You might try creating a ValueSet defined as "all codes" in ICD-10-CM (by specifying only compose.include.system) and posting and expanding that on tx.fhir.org. It's a little cumbersome, but I think that should work.
Lin Zhang (Oct 15 2020 at 00:01):
Indeed, they are not proper ICD-10 codes, but it would be better to keep those block codes ("E00-E89") if possible to meet navigation/grouping requirements.
Robert McClure (Oct 15 2020 at 14:24):
In my my experience a range of codes like E00-E89 is treated as an ICD code that is abstract in most terminology servers. So I'd agree with "not proper" if that is interpreted as =abstract.
Grahame Grieve (Dec 03 2020 at 00:10):
@Michael Lawley tx.fhir.org works on SSL now
Rob Hausam (Dec 03 2020 at 00:25):
I'll check the ICD-10-CM codes tonight - they should be there now. Hopefully will have ICD-10 (WHO) soon.
Rob Hausam (Dec 04 2020 at 16:48):
The current (2021) complete set of ICD-10-CM codes should be available on tx.fhir.org now. Apologies to everyone that this took so long, but Grahame had server updates to work through and there were a lot of steps that had to happen. Please verify that the codes that you need are there (they should be). The hierarchical (nesting) relationships are there and should work, too (I haven't tested that yet).
Rob Hausam (Dec 04 2020 at 16:49):
The ICD-10 (WHO) codes hopefully won't be far behind.
Sarah Gaunt (May 06 2021 at 00:59):
Are the ICD-10 (WHO) codes available? I'm still getting errors like "Code "P02.1" not found; The code "P02.1" is not valid in the system http://hl7.org/fhir/sid/icd-10; The code provided (http://hl7.org/fhir/sid/icd-10#P02.1) is not valid in the value set 'PHVS_CauseOfFetalDeath_ICD-10_CDC' (from http://tx.fhir.org/r4)"
That code is definitely in the value set (https://phinvads.cdc.gov/vads/ViewValueSet.action?id=87B8CF66-0F85-4CC7-BBE7-D6FBD32FD181) and I checked the PhinVads package and it's in that downloaded package.
Rob Hausam (May 06 2021 at 01:57):
@Sarah Gaunt The US standard for ICD-10 for billing and reimbursement and other areas, of course, is ICD-10-CM. This Cause of Fetal Death reporting is the only case in the US that I'm aware of which does use the "base" WHO ICD-10 code system. Right now, as noted ealier in the thread, tx.fhir.org does now have support for the full 1CD-10-CM code system. But it has only quite limited support for the WHO ICD-10 content, and there hasn't been a clear need and priority noted for adding that previously. I understand that there is a convertor tool available which reads the available ClaML distribution file that we should be able to use to make this available. Right now it is possible to validate the P02.1 code with ICD-10-CM on tx.fhir.org: http://tx.fhir.org/r4/CodeSystem/$lookup?system=http://hl7.org/fhir/sid/icd-10-cm&code=P02.1. If you are able to make use of that, it could provide an immediate (even if possibly temporary) solution. I will also further investigate when we can provide WHO ICD-10 support on tx.fhir.org.
Sarah Gaunt (May 06 2021 at 02:17):
(deleted)
Sarah Gaunt (May 06 2021 at 02:18):
@Rob Hausam Both Death and Fetal Death reporting in the US use the ICD-10 WHO code system.
Rob Hausam (May 06 2021 at 02:21):
Sure. That makes sense.
Sarah Gaunt (May 06 2021 at 02:21):
I don't think that work around will work for the IGs. The problem is the package that is downloaded from PhinVads specifies icd-10 (not icd-10-cm).
It makes my Condition example error, which in turn makes my Composition error, which in turn makes my Bundle error.
It has to match here:
image.png
Sarah Gaunt (May 06 2021 at 02:22):
It's not like it's a small use case! :joy:
Rob Hausam (May 06 2021 at 02:29):
No, it isn't. But it actually wasn't that clear that it was needed until now. But looking at the reference to "ICD-10-Mortality Fetal Manual (2016)" is what makes it clear (at least to me) that the "base" WHO ICD-10 is what is used for this.
Sarah Gaunt (May 06 2021 at 02:39):
Sorry @Rob Hausam! I thought we had chatted about it sometime last year but maybe I'm mis-remembering!
Rob Hausam (May 06 2021 at 02:49):
@Sarah Gaunt No, your recollection is spot on. We discussed it back in October and November here. But that thread does leave it somewhat hanging at the end, I think, and the ball was dropped by me for doing any more with it at that time.
Rob Hausam (May 06 2021 at 02:51):
So I'll get this back on the to do list.
Sarah Gaunt (May 06 2021 at 02:53):
Thanks! I should have checked in on it too - I totally forgot about it also... :-)
Last updated: Apr 12 2022 at 19:14 UTC
