Stream: IG creation
Topic: Missing codes in SNOMED-CT and ICD-10-CM
Keith Boone (Oct 01 2020 at 05:58):
I'm getting these two errors, they cannot be suppressed, and it's because the codes aren't recongized, but I've verified that they are in fact valid codes in SNOMED-CT and ICD-10-CM. These are new codes related to COVID. What is the process to get these added to the terminology server?
ERROR: Condition/Condition9c: Condition.code.coding[0]: Unable to find code 882784691000119100 in http://snomed.info/sct (version http://snomed.info/sct/900000000000207008/version/20200309); The code "882784691000119100" is not valid in the system http://snomed.info/sct; The code provided (http://snomed.info/sct#882784691000119100) is not valid in the value set 'All codes known to the system' (from http://tx.fhir.org/r4) for 'http://snomed.info/sct#882784691000119100'
ERROR: Encounter/Encounter1a: Encounter.reasonCode[0].coding[0]: Code "U07.1" not found; The code "U07.1" 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#U07.1) is not valid in the value set 'All codes known to the system' (from http://tx.fhir.org/r4) for 'http://hl7.org/fhir/sid/icd-10-cm#U07.1'
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Grahame Grieve (Oct 01 2020 at 06:13):
I think that the snomed codes are not yet released, so far as I know. and ICD-10 isn't yet updated either - @Rob Hausam ?
Rob Hausam (Oct 01 2020 at 06:25):
Funny enough, I'm working on preparing the ICD-9-CM, ICD-10-CM codes to be loaded at the moment. I guess I hadn't updated SNOMED CT yet to the July 2020 release, so I can do that now.
Rob Hausam (Oct 01 2020 at 06:32):
Actually, that didn't sound quite right for SNOMED. The 20200731 International Edition has been loaded and is marked as default. But if I don't specify the version in the query the server seems to be defaulting to the 20200309 version (for some reason) and the lookup fails. with:
Unable to find code 882784691000119100 in http://snomed.info/sct version http://snomed.info/sct/900000000000207008/version/20200309
If I include the 20200731 version explicitly in the query it works:
http://tx.fhir.org/r4/CodeSystem/$lookup?system=http://snomed.info/sct&code=882784691000119100&version=http://snomed.info/sct/900000000000207008/version/20200731
Looks like we will need to investigate that.
Rob Hausam (Oct 01 2020 at 13:45):
@Keith Boone I should be able to finish the prepping and loading of the ICD-10-CM codes (and ICD-9-CM codes which have also been requested) by sometime later today or definitely by tomorrow.
Keith Boone (Oct 01 2020 at 19:30):
@Rob Hausam
I'm also getting warnings on these:
C:\Users\kboone\git\fhir-saner\input\vocabulary\ValueSet-SuspectedOrConfirmedCOVID19Diagnoses.json
Path Severity Message
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet Process Info Validate resource against profile http://hl7.org/fhir/StructureDefinition/ValueSet
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[0] warning The code B34.2 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[1] warning The code B97.2 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[2] warning The code B97.29 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[3] warning The code U07.1 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[4] warning The code A41.89 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[5] warning The code B34.2 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[6] warning The code J12.8 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[7] warning The code J12.89 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[8] warning The code J20.8 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[9] warning The code J22 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[10] warning The code J40 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[11] warning The code J80 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[12] warning The code J98.8 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[13] warning The code R05 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[14] warning The code R06.0 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[15] warning The code R06.02 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
ValueSet/SuspectedOrConfirmedCOVID19Diagnoses: ValueSet.compose[0].include[0].concept[16] warning The code R50.9 is not valid in the system http://hl7.org/fhir/sid/icd-10-cm
Rob Hausam (Oct 01 2020 at 19:36):
@Keith Boone Yes, those are coming (should be by tomorrow, I think).
Last updated: Apr 12 2022 at 19:14 UTC
