Share Your Thoughts on our Terminology Server! Let us know your insights and help enhance our services. The survey is open from Nov 19 to Dec 3, 2024. Your feedback matters! Learn More >

Share this page:

file Code system reference for Immunization Value Sets

  • Posts: 84
1 year 7 months ago #8436 by Ken Sinn
Hi Marc,

We identified and raised the same discrepancy last December, when using HL7 Validator with the ValueSet definitions used by PS-CA and PS-ON. We made the recommendation for Infoway to update their ValueSets to use the correct system URI as per the Snomed CT-on-FHIR documentation, in order for the ValueSets to be conformant with HL7's guidance.

The ValueSets procedurecode, pharmaceuticaldoseformcode, drugormedicamentSubstanceCode, ClinicalFindingCode, SubstanceCode, PharmaceuticalBiologicProductCode were all identified as having this issue, and I believe they have since been addressed.

(e.g. tgateway.infoway-inforoute.ca/singlesubset.html?id=2.16.840.1.113883.2.20.3.478&versionid=20211101 still shows the uri as ...snomedctcaextension, but the actual file at fhir.infoway-inforoute.ca/ValueSet/pharmaceuticaldoseformcode?_format=json shows the proper snomed.ct URI w version code instead)

Please Log in or Create an account to join the conversation.

  • Posts: 91
1 year 7 months ago #8433 by Marc L'Arrivee
Hello,
While reviewing the CVCTradename and CVCGeneric value sets bound to the Immunization resource in PS-CA and CA Baseline (there may be others), we have found that these value sets contain a reference to the codesystem fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension (see Example below).

However the proper way to call out the SNOMED CT Canadian Edition is with a system: of snomed.info/sct and a version: of snomed.info/sct/20611000087101.

How can this discrepancy be resolved and what is the correct thing to do here?

Example:
{
"resourceType": "ValueSet",
"id": "Generic",
"date": "2022-11-14",
"url": "cvc.canimmunize.ca/v3/ValueSet/Generic",
"meta": {
"versionId": "1.1.28",
"lastUpdated": "2022-11-14"
},
"status": "active",
"compose": {
"include": [
{
"system": "fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension",
"version": "20200331",
"concept": [
{
"code": "7781000087107",
"display": "[ap] Pertussis",
...

Thanks,
Marc

Please Log in or Create an account to join the conversation.

InfoCentral logo

Improving the quality of patient care through the effective sharing of clinical information among health care organizations, clinicians and their patients.