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Difference between revisions of "SDWG/PHER-PHCR IG R2 Tularemia"

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(Created page with "{{PHER Open Change Requests}} Return to PHER page; Return to [[:category:Change Requests for PHER Standards|Change Req...")
 
 
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Return to [[Public Health and Emergency Response work group (PHER)|PHER]] page; Return to [[:category:Change Requests for PHER Standards|Change Requests for PHER Standards]] page.
 
Return to [[Public Health and Emergency Response work group (PHER)|PHER]] page; Return to [[:category:Change Requests for PHER Standards|Change Requests for PHER Standards]] page.
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See [[:category:Change Requests for PHER Standards|Change Requests for PHER Standards]] for instructions on using this form. Failure to adhere to these instructions may result in delays. Editing of formal proposals is restricted to the submitter and PHER co-chairs. Other changes will be undone. Comments can be captured in the associated discussion page.
 
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''('''This is a template. Do not edit!''' Copy and paste source into to a new page)''
 
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''('''An announcement of this proposal must be submitted to the SDWG and PHER lists to be formally submitted.''')''
 
  
  
 
{|width=100% cellspacing=0 cellpadding=2 border=1
 
{|width=100% cellspacing=0 cellpadding=2 border=1
 
|| '''Submitted by:''' Sondra Renly
 
|| '''Submitted by:''' Sondra Renly
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|| '''Revision date:''' May 15, 2012
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|| '''Revision date:''' June 28, 2012
 
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|| '''Submitted date:''' May 15, 2012
 
|| '''Submitted date:''' May 15, 2012
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== Issue ==
 
== Issue ==
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* PHCR IG error (p109):
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# The Tularemia Case Report Location of Lesion Observation [observation: templateId 2.16.840.1.113883.10.20.15.3.44] documented on page 109 is part of the Tularemia Case Observation (p79). This template constraints the value/@code to an Acute Hep B value set.
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Location of Lesion Observation value/@code SHALL be selected from ValueSet 2.16.840.1.114222.4.11.3213 Signs and Symptoms (Acute Hepatitis B) DYNAMIC (CONF:1678)
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# Figure 49 Location of Lesion Observation (p 110) uses SNOMED code 49755003 (lesion) which is not in the Tularemia value set.
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should be
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# Tularemia Result Organizer and Tularemia Result Observation constrain to the ValueSet 2.16.840.1.114222.4.11.3208 Lab Test Result Name (Tularemia). This list is out of date.
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Location of Lesion Observation value/@code SHALL be selected from ValueSet 2.16.840.1.114222.4.11.3215 Signs and Symptoms (Tularemia) DYNAMIC (CONF:1678)
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# Documentation refers to pending SNOMED request for term "Exposure to Francisella tularensis" with a temporary PHIN VADS code. Confirmed that no request had been submitted. Request submitted 06/21/2012 ID 58987. Jim Case approved term in US extension for release this August.
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* ALSO - Figure 49 Location of Lesion Observation example uses SNOMED value code 49755003 (lesion) which is not in SS (Tularemia) value set.
 
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* PHCR IG recommendation: Update to RCMT value set for lab test names.  
 
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== Recommendation ==
 
== Recommendation ==
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*
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# Change the Location of Lesion Observation code constraint to ValueSet 2.16.840.1.114222.4.11.3215 Signs and Symptoms (Tularemia).
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# Review ValueSet 2.16.840.1.114222.4.11.3215 Signs and Symptoms (Tularemia) to determine if Lesion (49755003) should be in the value set (change request to PHIN VADS) or if the example should be changed to use an existing code from the value set.
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# PHIN VADS has a current ValueSet 2.16.840.1.114222.4.11.4217 Lab Test Name (Tularemia). Review and discuss with VADS team about ownership and ongoing maintenance needs to determine if the current or newer ValueSet should be referenced going forward.
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# Update documentation with SNOMED code after August.
  
 
== Rationale ==
 
== Rationale ==

Latest revision as of 20:55, 28 June 2012


Return to PHER page; Return to Change Requests for PHER Standards page.


Submitted by: Sondra Renly Revision date: June 28, 2012
Submitted date: May 15, 2012 Change request ID: <<Change Request ID>>
Standard: SDWG/PHER-PHCR IG R2 Artifact ID, Name: <<Artifact ID, Name>>

Issue

  1. The Tularemia Case Report Location of Lesion Observation [observation: templateId 2.16.840.1.113883.10.20.15.3.44] documented on page 109 is part of the Tularemia Case Observation (p79). This template constraints the value/@code to an Acute Hep B value set.
  2. Figure 49 Location of Lesion Observation (p 110) uses SNOMED code 49755003 (lesion) which is not in the Tularemia value set.
  3. Tularemia Result Organizer and Tularemia Result Observation constrain to the ValueSet 2.16.840.1.114222.4.11.3208 Lab Test Result Name (Tularemia). This list is out of date.
  4. Documentation refers to pending SNOMED request for term "Exposure to Francisella tularensis" with a temporary PHIN VADS code. Confirmed that no request had been submitted. Request submitted 06/21/2012 ID 58987. Jim Case approved term in US extension for release this August.

Recommendation

  1. Change the Location of Lesion Observation code constraint to ValueSet 2.16.840.1.114222.4.11.3215 Signs and Symptoms (Tularemia).
  2. Review ValueSet 2.16.840.1.114222.4.11.3215 Signs and Symptoms (Tularemia) to determine if Lesion (49755003) should be in the value set (change request to PHIN VADS) or if the example should be changed to use an existing code from the value set.
  3. PHIN VADS has a current ValueSet 2.16.840.1.114222.4.11.4217 Lab Test Name (Tularemia). Review and discuss with VADS team about ownership and ongoing maintenance needs to determine if the current or newer ValueSet should be referenced going forward.
  4. Update documentation with SNOMED code after August.

Rationale

Discussion

Recommended Action Items

Resolution

(Resolution is to be recorded here and in the referenced minutes, which are the authoritative source of resolution).

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