Multiple Value Sets
See original GitHub issueRequest from #fhirdevdays
to allow a ValueSet to be specified (by canonical URL) instead of a code/coding in a module, so that things like Observations, Conditions, and Procedures can have varied codes.
Issue Analytics
- State:
- Created 5 years ago
- Comments:14 (8 by maintainers)
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Top GitHub Comments
Just to add to this thread, completely agree with @lawley, this should be via calls to a terminology server of which there are a few now available.
The team here at SNOMED International are investigating if we can develop and contribute code to Synthea enabling the ability to call out to any FHIR Terminology Services compliant terminology server in order to use ECL and other direct SNOMED CT queries.
Hopefully, we can update this soon!
Note, for SNOMED-based ValueSets you can make good use of the implicit ValueSet idea and avoid the need to explicitly create ValueSets. For example, http://snomed.info/sct?fhir_vs=isa/12345678 is, by definition the ValueSet for the code 12345678 and all its descendants.
You can also use SNOMED’s ECL for more expressive definitions: this is all descendants of 12345678 that have a relationship 11111111 to 87654321 or any descendant http://snomed.info/sct?fhir_vs=ecl/<<12345678:11111111=<<87654321
You could, for example, use this approach to match on specific morphologies or finding sites.