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Fallbeispiele für den IG

  • Beispiel eMediplan und Abbildung als CHMED-Dokument (FHIR)
  • Beispiel Rezept und Abbildung als CHMED-Dokument (FHIR)

Wrong LOINC for "History of medication use"

Medication plan
In Composition.section:sectionmed (structureDefinition and example) the following is listed:
system: http://loinc.org
code: 77604-7
display: History of medication use

The correct codes and displays are listed below:
77604-7 = Medication treatment plan.brief Document
10160-0 = Hx of Medication use

See also Medication List Section Content Module:
https://art-decor.org/art-decor/decor-templates--cdachemed-?section=templates
10160-0, History of medication use

Change structureDefinition and example to:
system: http://loinc.org
code: 10160-0
display: Hx of Medication use

Mapping 'AppInstr'

Current mapping:
MedicationStatement.dosage:nonstructured -> Dosage.text
MedicationRequest.dosageIntstruction:nonstructured -> Dosage.text

Should be mapped to:
MedicationStatement.note
MedicationRequest.note

TBD also in CDA-FHIR-Maps

Wrong PackageId in the ch.chmed16af.emediplan-0.2.0.xml file

Hello,

I think the packageId value in the following file is wrong
resources\implementationguide\ch.chmed16af.emediplan-0.2.0.xml
The actual value is "ch.mediplan.chmed16af", I think it should be as in ig-new.xml "ch.chmed16af.emediplan"

Best regards,
David

IG publisher expects new IG fragments

1 warning The HTML fragment 'ip-statements.xhtml' is not included anywhere in the produced implementation guide
2 warning An HTML fragment from the set [cross-version-analysis.xhtml, cross-version-analysis-inline.xhtml] is not included anywhere in the produced implementation guide
3 warning An HTML fragment from the set [dependency-table.xhtml, dependency-table-short.xhtml] is not included anywhere in the produced implementation guide
4 warning The HTML fragment 'globals-table.xhtml' is not included anywhere in the produced implementation guide

Missing Risks in CodeSystem

Input Laura Flück, HCI Solutions am 12.01.2022:
Im Codesystem CDS-Risiken fehlen folgende Codes:

  • Risk-ID 756 Diabetes mellitus Typ 1
  • Risk-ID 757 Diabetes mellitus Typ 2

Diese werden in der nächsten Version des Implementation Guides ergänzt.

CS/VS: experimental element is mandatory

  • The ShareableCodeSystem profile says that the experimental element is mandatory, but it is not present. Published code systems SHOULD conform to the ShareableCodeSystem profile
  • The ShareableValueSet profile says that the experimental element is mandatory, but it is not present. Published value sets SHOULD conform to the ShareableValueSet profile

Observation with performer and effective[x]

Adapt examples according to best practice guidelines (IG publisher):

  • Best Practice Recommendation: In general, all observations should have an effective[x]
  • Best Practice Recommendation: In general, all observations should have a performer

MustSupport

Description of the meaning of mustSupport is missing

clarification of boolean substitution

eMediplan:
Sub: true if medicament is not substitutable, otherwise false.
(Sub = Substitution)

CHMED MedicationRequest (Pre)

  • substitution.allowedCodeableConcept ^short = "'True' if medicament is not substitutable, otherwise 'false'"

CHMED MedicationStatement (Card)

  • extension[substitution] ^short = "'equivalent': Substitution occurred or is permitted with another bioequivalent and therapeutically equivalent product."

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