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AuDigitalHealth / ci-fhir-r4

Working drafts of HL7™ FHIR® Release 4 (R4) artefacts authored and maintained by the Informatics Architecture team at the Australian Digital Health Agency.
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Organ or Tissue for Donation Terminology - Support transition between the CDA or RIM and FHIR formats #146

Closed dtr-agency closed 2 years ago

dtr-agency commented 2 years ago

Issue in supporting transition between the CDA or RIM format and the FHIR format (both STU3 and R4) of an Australian Organ Donor Register form.

The terminology that represents organ or tissue for donation doesn't have a defined transition from the NCTIS terminology supported in the original CDA (RIM) format and the SNOMED CT terminology supported in the FHIR format.

The CDA format supports the legacy value set NCTIS Organ Donation Consent Component Indicators that uses concepts from NCTIS Data Components code system.

The FHIR format supports the value set Organ Donation Body Site that uses concepts from SNOMED CT.

Concept maps are required to define to define that transition but are not yet available.

Originally posted by @dtr-agency in https://github.com/AuDigitalHealth/ci-fhir-r4/issues/141#issuecomment-1092258367

dtr-agency commented 2 years ago

Publication of the CDA (RIM) legacy value set NCTIS Organ Donation Consent Provision Type is being managed by FHIR Terminology Requests FTR-103.

dtr-agency commented 2 years ago

Early proposal for concept maps

CDA (RIM) to FHIR

Element Description
Suggested Title of ConceptMap NCTIS Organ Donation Consent Component Indicators to Organ Donation Body Site
Suggested URI https://healthterminologies.gov.au/fhir/ConceptMap/
Suggested Description The NCTIS Organ Donation Consent Component Indicators to Organ Donation Body Site concept map defines relationships from the concepts in the NCTIS Organ Donation Consent Component Indicators value set to the concepts in the Organ Donation Body Site value set.
Source ValueSet https://healthterminologies.gov.au/fhir/ValueSet/organ-donation-consent-provision-type-1
Target ValueSet https://healthterminologies.gov.au/fhir/ValueSet/organ-donation-body-site-1
Source Concept Equivalence Target Concept
103.16661 equivalent 272673000
103.16662 equivalent 81745001
103.16669 equivalent 39937001
103.16663 equivalent 80891009
103.16664 equivalent 17401000
103.16665 equivalent 64033007
103.16666 equivalent 10200004
103.16667 equivalent 39607008
103.16668 equivalent 15776009

FHIR to CDA (RIM)

Element Description
Suggested Title of ConceptMap Organ Donation Body Site to NCTIS Organ Donation Consent Component Indicators
Suggested URI https://healthterminologies.gov.au/fhir/ConceptMap/
Suggested Description The Organ Donation Body Site to NCTIS Organ Donation Consent Component Indicators concept map defines relationships from the concepts in the Organ Donation Body Site value set to the concepts in the NCTIS Organ Donation Consent Component Indicators value set.
Source ValueSet https://healthterminologies.gov.au/fhir/ValueSet/organ-donation-body-site-1
Target ValueSet https://healthterminologies.gov.au/fhir/ValueSet/organ-donation-consent-tbd-1
Source Concept Equivalence Target Concept
272673000 equivalent 103.16661
81745001 equivalent 103.16662
39937001 equivalent 103.16669
80891009 equivalent 103.16663
17401000 equivalent 103.16664
64033007 equivalent 103.16665
10200004 equivalent 103.16666
39607008 equivalent 103.16667
15776009 equivalent 103.16668

EDITED: 05/05/2022

dbojicic-agency commented 2 years ago

Completed initial review of the two concept maps with no issues related to the proposed content found. Noting that proposed URIs are incomplete which is probably expected at this stage given the pending ValueSet FTRs.

lindaa-agency commented 2 years ago

CDA (RIM) to FHIR concept map reviewed with no issues. FHIR to CDA (RIM) concept map reviewed with no issues.

The program refers to organ and tissue donation - Suggest the inclusion of tissue in the Title and the descriptions etc ie:

NCTIS Organ and Tissue Donation Consent Provision Type to Organ and Tissue Donation Body Site

Organ and Tissue Donation Body Site to NCTIS Organ and Tissue Donation Consent Provision Type

dtr-agency commented 2 years ago

@lindaa-agency, the title and descriptions of the Concept Maps use the titles of the source and target value sets. If a used value set title changes, the concept map will update as a result.

To address the concern that the title of the value sets doesn't fully describe the domain you could raise an update to a value set title.

dtr-agency commented 2 years ago

Above request provided to ADHA Terminology, request managed by FHIR Terminology Requests FTR-1533 & FTR-1528.

dtr-agency commented 2 years ago

NCTIS value set title changed as per recommendation from terminology analyst - design above edited.

dtr-agency commented 2 years ago

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

dtr-agency commented 2 years ago

Published in NCTS.