ValueSet - Device type - to support typing as information system devices for exchanging and using digital health information

[dtr-agency]

For this project and others including the forthcoming aged care work we need to identify the appropriate concepts, preferrably in SNOMED CT, to type the information systems, these devices are stores of data or generate data. For example Meds View is generated by the MHR system – it is not a practitioner curated view – providing this context is important when exchanging and using digital health information. Similarly capturing the source of the data e.g. the source of immunisation data is from a national repository or from a primary care clinical information system is important.

Originally posted by @dtr-agency in https://github.com/AuDigitalHealth/ci-fhir-r4/issues/130#issuecomment-1055967844

[dtr-agency]

This issue is in the context of information systems and authoring / observing devices. A device is a type of manufactured item used in the provision healthcare that is not substantially changed throughout that activity. A device may be a medical or non-medical device.

The Agency has known requirements for typing information system devices that are:

1. MHR system
2. Medicare register systems
3. National Cancer Screening Register system
4. Clinical information systems including Hospital systems like admission and emergency, GP desktop systems like Best Practice, and residential aged care clinical information systems
5. Electronic Management Systems, systems such as those managing electronic medication charts, prescribing, ordering, supplying, decision support
6. Pharmacy systems
7. Pathology systems
8. Radiology systems
9. apps like Apple Health or Google Fit
10. Future:
    1. TGA medical device register (register of devices)
    2. TGA implanted medical device register (tracks devices in patients)

There look to be a number of suitable concepts that are children of 706593004 |Information system| and potentially 462240000 |Patient health record information system| is considered to be suitable to type many of the information system devices above though I am confused at the differentiation in hierarchy between 1085211000168105 |DHS Medicare repository services| and 1084991000168108 |My Health Record system|.

Possibly what may be appropriate are for information systems like the NCSR or Medicare are concepts for national health data repository services and/or state health data repository services or some variant thereof.

NOTE: The name for 1085211000168105 |DHS Medicare repository services| uses a deprecated Gov Dept name. May need to be updated?

Request provided to ADHA Terminology function to identify (or create if needed) the SNOMED CT-AU terms that support typing the above information system devices noting that the list is not intended to prescribe concept decomposition levels.

Request is managed through FHIR Terminology Requests FTR-1473.

[dtr-agency]

Proposed ValueSet

Element	Definition
Suggested Title of Value Set	Information System Device Type
Suggested URI	https://healthterminologies.gov.au/fhir/ValueSet/information-system-device-type-1
Suggested Description	The Information System Device Type value set includes values that may be used to indicate the type of device that authors or otherwise records digital health information.
Terminologies included	SNOMED CT
Compose requirements	Made up of the SNOMED CT concepts identified via the work item managed via FHIR Terminology Requests FTR-1473
Business Reason for Request	To support the exchange of digital health information in Australia as part of the the current work plan initiative: NCSR integration with MHR system. This set of values also serves integration with other repositories (e.g. Medicare), system-generated views (e.g. Medicines View from the MHR system), consumer wearable devices, and other device mediated exchanges.

This request is managed by FHIR Terminology Requests FTR-1555

[dtr-agency]

Agency Terminology have advised the following concepts address requests 8 of 10 with the two remaining in progress.

Concept requested	SCTID	PT	FSN	Synonym
MHR system	1084991000168108	My Health Record system	My Health Record system (physical object)
Medicare register systems	1617311000168101	Medicare register system	Medicare register system (physical object)
National Cancer Screening Register system	1617321000168108	National cancer screening register system	National cancer screening register system (physical object)
Clinical information systems including Hospital systems like admission and emergency, GP desktop systems like Best Practice, and residential aged care clinical information systems	706593004	Clinical information system	Information system (physical object)
	1617331000168106	Intensive care unit clinical information system	Intensive care unit clinical information system (physical object)
		Residential aged care information system	Residential aged care information system (physical object)
468607009|Emergency-care information system	468607009	Emergency department information system	Emergency-care information system (physical object)
462621003| Hospital-administration information system	462621003	Hospital administration information system	Hospital-administration information system (physical object)
Pharmacy systems	467742004	Pharmacy information system	Pharmacy information system (physical object)
467455004 |Clinical laboratory information system	467455004	Laboratory information system	Laboratory information system (physical object)
Electronic Management Systems, systems such as those managing electronic medication charts, prescribing, ordering, supplying, decision support	1617351000168100	Electronic medication management system	Electronic medication management system (physical object)
	1617361000168103	eMR (electronic medical record) system	Electronic medical record system (physical object)	Electronic medical record system
Pathology systems	464280008	Pathology information system	Pathology information system (physical object)
Radiology systems	463286009	Radiology information system	Radiology information system (physical object)

[dtr-agency]

ValueSet reviewed and approved for publication. Publication scheduled for June 2022 release.

ADHA System Device in continuous integration build has been updated in expectation of publication.

[dtr-agency]

Published in NCTS.