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hl7-be / allergy

Allergy package from the Patient Dossier
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Modify the valueset of BeCausativeAgent due to changes to the Belgian SNOMED CT Edition #103

Closed bdc-ehealth closed 11 months ago

bdc-ehealth commented 11 months ago

see remark by @fdetaver and Marcelo Romero-Cors in: https://be-ehealth-standards.atlassian.net/browse/ESI-488

I will try to reconstruct the desired situation from a mail by @mlambot

In 20221115, after testing for several months an extended non drug refset as a flat file and as CSCT extension in the CSCT hospitals and integration of the feed back from the field, the CSCT gave the consolidated non drug CSCT refset to Anne, to be promoted by the NRC in the BE extension as official first definitive AllergyIntolerance non drug value set. The NRC had to create a new concept to represent this refset. They could not rename the previous refset concept because the meaning of the concept has changed. It in not a POC refset anymore. This may be difficult to understand that you may not change the name of a refset that seems to have the same purpose but the rules for managing SNOMED CT concepts are just as binding for the concepts representing refsets as for any concept representing, say, a disorder. The FSN of a concept may only be modified so long as the modification doesn't change the meaning of the concept. Here we go from POC to consolidated "definitive" version of the refset. The idea the concept represent is different. So a new concept had to be created. And that is 50851000172106 |Belgian subset for AllergyIntolerance, causative agent, non-drug (foundation metadata concept)|. The current version of the AllergyIntolerance IG guide should point for the substances (BeAllergyIntoleranceCode element) to this refset, as well as to the drug refset 50841000172109 |Belgian subset for AllergyIntolerance, causative agent, drug (foundation metadata concept)|.

bdc-ehealth commented 11 months ago

@mlambot

The specific change for this issue you can check here (later on I will send a link with all changes): https://build.fhir.org/ig/hl7-be/allergy/branches/issue-103/ValueSet-be-causativeagent.html .

It is a mystery to me why only "nl-BE" is displayed as a language next to english, I asked for all languages in the source code. Let me know if this is not what you wanted.