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dcc's Issues

Naming systems, code systems, and value sets

Some of the sets using in these specifications contain identifiers rather than concepts, e.g. vaccine MAH organizations, vaccine medicinal products (debatably), and RAT tests (debatably). In the profiles I these would/could be represented as Identifiers. I do not know of an easy way to constrain a NamingSystem like a ValueSet constrains a CodeSystem. Is there a way (I've searched the documentation and Zulip without any luck).

Should ICD11 MMS codes be used or ICD11 Foundation codes?

As a broad rule of thumb, I would expect ICD11 Foundation codes to be used at point of data collection and exchange, and MMS codes to be used only for analytics / statistical purposes.

Hence I would have expected:

---- 1104808441 COVID-19 vaccine, inactivated virus
---- 993066376 COVID-19 vaccine, live attenuated virus
---- 264142908 COVID-19 vaccine, non-replicating viral vector
---- 877986394 COVID-19 vaccine, replicating viral vector
---- 1368305645 COVID-19 vaccine, virus protein subunit
---- 729916172 COVID-19 vaccine, virus like particle (VLP)
---- 1316179031 COVID-19 vaccine, DNA based
---- 873941688 COVID-19 vaccine, RNA based

Coding of vaccine medicinal products

Immunization profile currently supports coding using SNOMED CT and ATC (actually both at the same time which I think is an error, but...) but not the EC registration number. Suggest to add a slice:

  • vaccineCode.coding contains atcVaccines 0..1 and sctVaccines 0..1 and ecRegVaccines 1..1 // and icd11Vaccines 0..1
  • vaccineCode.coding[atcVaccines] from AtcCovid19Vaccines
  • vaccineCode.coding[sctVaccines] from SctCovid19Vaccines
  • vaccineCode.coding[ecRegVaccines] from Covid19VaccineNames

Any problems with this?

Likely should also be changed to this:

  • vaccineCode.coding contains vaccineProphylaxisCodes 1..1 and ecRegVaccines 1..1
  • vaccineCode.coding[vaccineProphylaxisCodes] from Covid19Vaccines
  • vaccineCode.coding[ecRegVaccines] from Covid19VaccineNames

I could implement in my repo and PR unless there are issues with this already

/Daniel

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