Incomplete ValueSet Allergies for eVACDOC (Daniel Ratschiller, CISTEC AG)

[drats-cis]

The value set seems to us to be too short.

From the current mapping work on the IG Allergy&Intolerances, we would know that the following allergies from the HCI-Hospindex would exist in the minium.

CHA-Code	Auslösende Substanz im Hospindex	ISCODE (X=aktiv)	Anzahl Produkte bei HCI	Titel der Allergie (Hospindex)	Code1 Cistec-Mapping	Text1 Cistec-Mapping
CHA-387	(null)	X	#NV	Cholera-Impfstoff-Allergie
CHA-395	(null)	X	#NV	Haemophilus influenza B-Impfstoff-Allergie	294664000	Allergy to Haemophilus influenzae type b vaccine (finding)
CHA-390	Hepatitis-A-Adsorbat-Impfstoff	X	4	Hepatitis A-Impfstoff-Allergie	294663006	Allergy to Hepatitis A virus vaccine (finding)
CHA-389	Hepatitis-B-Impfstoff, rekombiniert, monovalent	X	8	Hepatitis B-Impfstoff-Allergie	294646007	Allergy to Hepatitis B virus vaccine (finding)
CHA-394	Pertussis acellulär Adsorbat Impfstoff	X	3	Pertussis-Impfstoff-Allergie	294651001	Allergy to pertussis vaccine (finding)
CHA-484	Pneumokokken-Polysaccharid-CRM-Konjugat-Impfstoff, 13-valent, Pneumokokken-Polysaccharid-Impfstoff 23-valent	X	2	Pneumokokken-Impfstoff-Allergie	294652008	Allergy to pneumococcal vaccine (finding)
CHA-392	Poliomyelitis-Impfstoff inaktiviert, trivalent, Poliomyelitisviren Typ 1 inaktiviert (Mahoney), Poliomyelitisviren Typ 2 inaktiviert (MEF-1), Poliomyelitisviren Typ 3 inaktiviert (Saukett)	X	19	Poliomyelitis-Impfstoff-Allergie	294654009	Allergy to Poliovirus vaccine (finding)
CHA-124	Rota Virus human (Stamm: RIX4414)	X	1	Rotavirus-Lebendimpfstoff-Allergie	700468006	Allergy to Rotavirus vaccine (finding)
CHA-388	Röteln-Lebend-Impfstoff (HDC-Zellen), Stamm Wistar RA 27/3	X	5	Röteln-Impfstoff-Allergie	294656006	Allergy to rubella vaccine (finding)
CHA-486	Tetanus-Adsorbat-Impfstoff	X	8	Tetanus-Impfstoff-Allergie	294658007	Allergy to tetanus vaccine (finding)
CHA-391	Tollwut-Impfstoff, inaktiviert (HDC-Zellen); Stamm WISTAR PM/WI 38-1503-3M, Tollwut-Impfstoff, inaktiviert (PCEC); Stamm Flury LEP	X	4	Tollwut-Impfstoff-Allergie	294655005	Allergy to Rabies vaccine (finding)
CHA-396	BCG-Lebend-Impfstoff; Stamm RIVM, BCG-Lebend-Impfstoff; Stamm TICE, Mycobacterium bovis BCG (Stamm-Kopenhagen 1331)	X	4	Tuberkulose-Impfstoff-Allergie	293635003	Allergy to tuberculin (finding)
CHA-393	Salmonella typhi, lebend; Stamm Ty 21a, Typhus-Lebend-Impfstoff, oral, Typhus-Polysaccharid-Impfstoff	X	3	Typhus-Impfstoff-Allergie	294659004	Allergy to component of vaccine product containing Salmonella enterica subspecies enterica serovar Typhi antigen
CHA-397	Varizellen-Lebend-Impfstoff attenuiert (Stamm OKA), Varizellen-Lebend-Impfstoff; Stamm OKA/Merck	X	6	Varizellen-Impfstoff-Allergie	294639003	Allergy to Varicella-zoster virus antibody (finding)

Inspired by SCT, there could be as many as 19: https://browser.ihtsdotools.org/?perspective=full&conceptId1=863903001&edition=MAIN/2021-01-31&release=&languages=en • Allergy to component of vaccine product containing Bacillus anthracis antigen (finding) • Allergy to component of vaccine product containing Bordetella pertussis antigen (finding) • Allergy to component of vaccine product containing Clostridium tetani antigen (finding) • Allergy to component of vaccine product containing Corynebacterium diphtheriae antigen (finding) • Allergy to component of vaccine product containing Haemophilus influenzae type B antigen (finding) • Allergy to component of vaccine product containing Hepatitis A virus antigen (finding) • Allergy to component of vaccine product containing Hepatitis B virus antigen (finding) • Allergy to component of vaccine product containing Human poliovirus antigen (finding) • Allergy to component of vaccine product containing Influenza virus antigen (finding) • Allergy to component of vaccine product containing Mumps orthorubulavirus antigen (finding) • Allergy to component of vaccine product containing Neisseria meningitidis antigen (finding) • Allergy to component of vaccine product containing only Clostridium tetani and Corynebacterium diphtheriae antigens (finding) • Allergy to component of vaccine product containing only Measles morbillivirus and Mumps orthorubulavirus and Rubella virus antigens (finding) • Allergy to component of vaccine product containing Rabies lyssavirus antigen (finding) • Allergy to component of vaccine product containing Rotavirus antigen (finding) • Allergy to component of vaccine product containing Rubella virus antigen (finding) • Allergy to component of vaccine product containing Salmonella enterica subspecies enterica serovar Typhi antigen (finding) • Allergy to component of vaccine product containing Streptococcus pneumoniae antigen (finding) • Allergy to component of vaccine product containing Vaccinia virus antigen (finding)

What do you think, shouldn't the valueset be extended accordingly?

[ralych]

The allergies relevant for immunizations are based on the EKIF recommendations and the CDSS system of viavac.

[drats-cis]

I am slightly puzzled by the wontfix label. What kind of CDS is it if it does not take into account a known allergy to a vaccine for vaccination recommendations?

[eHealth-Suisse]

duplicate with #57 maybe worth to ask back to EKIF why/if these allergies are not relevant

[ralych]

Additional to EKIF the valueset is taken over from the art-decor valueset. The work what was to be done is to translate CDA to FHIR.

The question was forwarded to viavac in meantime.

[eHealth-Suisse]

value set has been enlarged, issue closed. Ticketsteller @drats-cis zur Kenntnis und für allfällige Einwände.