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Invalid SNOMED code in some SDoH HRSN Condition resources #1430

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gotdan opened this issue Mar 19, 2024 · 3 comments
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Invalid SNOMED code in some SDoH HRSN Condition resources #1430

gotdan opened this issue Mar 19, 2024 · 3 comments
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@gotdan
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gotdan commented Mar 19, 2024

What happened?

FHIR resources for conditions coming from the SDoH HRSN module with a code of 5251000175109 Received certificate of high school equivalency (finding) are failing FHIR validation since the code is in the US SNOMED CT edition and is not in the international SNOMED CT edition. It should have a version that specifies the US edition http://snomed.info/sct/731000124108 (see Zulip discussion).

Example invalid resource:

{
      "resourceType": "Condition",
      "id": "03658e50-6a8c-f954-69b8-7062c1ba4755",
      "clinicalStatus": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code": "active"
        } ]
      },
      "verificationStatus": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code": "confirmed"
        } ]
      },
      "category": [ {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/condition-category",
          "code": "encounter-diagnosis",
          "display": "Encounter Diagnosis"
        } ]
      } ],
      "code": {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "code": "5251000175109",
          "display": "Received certificate of high school equivalency (finding)"
        } ],
        "text": "Received certificate of high school equivalency (finding)"
      },
      "subject": {
        "reference": "urn:uuid:6f138b94-eb54-38f0-9925-85f85d7b6372"
      },
      "encounter": {
        "reference": "urn:uuid:f143b2a7-4200-c57e-8cb0-45ea878fb822"
      },
      "onsetDateTime": "1988-08-09T10:47:16-04:00",
      "recordedDate": "1988-08-09T10:47:16-04:00"
}

Example valid resource:

{
      "resourceType": "Condition",
      "id": "03658e50-6a8c-f954-69b8-7062c1ba4755",
      "clinicalStatus": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code": "active"
        } ]
      },
      "verificationStatus": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code": "confirmed"
        } ]
      },
      "category": [ {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/condition-category",
          "code": "encounter-diagnosis",
          "display": "Encounter Diagnosis"
        } ]
      } ],
      "code": {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "version": "http://snomed.info/sct/731000124108",
          "code": "5251000175109",
          "display": "Received certificate of high school equivalency (finding)"
        } ],
        "text": "Received certificate of high school equivalency (finding)"
      },
      "subject": {
        "reference": "urn:uuid:6f138b94-eb54-38f0-9925-85f85d7b6372"
      },
      "encounter": {
        "reference": "urn:uuid:f143b2a7-4200-c57e-8cb0-45ea878fb822"
      },
      "onsetDateTime": "1988-08-09T10:47:16-04:00",
      "recordedDate": "1988-08-09T10:47:16-04:00"
}
@gotdan gotdan added the bug label Mar 19, 2024
@grahamegrieve
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it's not a different system (per the zulip thread), it's the right snomed version

@gotdan gotdan changed the title Incorrect terminology system in some SDoH HRSN Condition resources Invalid SNOMED code in some SDoH HRSN Condition resources Mar 19, 2024
@gotdan
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gotdan commented Mar 19, 2024

Thanks, I updated the bug to reflect this

@jawalonoski
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This should be resolved with #1434.

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