| Row # | Tracker ID | Tracker Title | Date Created | Notes | Accepted as an HTA issue | HTA Disposition Category | Suggested Disposition |
|---|
| 1 | FHIR-12675 | URL for NCI Thesaurus Code System | 24 January 2017 | - The FHIR specification terminologies page has a URL and OID for the National Cancer Institute (NCI) Metathesaurus, but neither for the NCI Thesaurus: identifiers required in the FHIR specification (or perhaps UTG).
- While an OID for the NCI Thesaurus appears to exist (2.16.840.1.113883.3.26.1.1) there is not advised http-style URL to assert this code system: System URL for NCI Thesaurus Code System required.
- Michael Lawley suggests a URI (which appears to come from the Code System owner) in the OWL file for the NCI Thesaurus.
| Yes | External Code System URI for use in FHIR | - HTA to reach out to NCI to confirm use of the System URI as suggested by Michael Lawley.
- If confirmed:
- Update ticket.
- Document resolution including action to update the FHIR specification.
- If not confirmed, the new Code System Engagement Process should be followed to obtain an agreed upon System URI for the NCI Thesaurus Code System.
|
| 2 | FHIR-12858 | Url for MeSH codesystem | 18 February 2017 | - A System URI for the US National Library of Medicine (NLM) Medical Subject Headings (MeSH)Code System (link) is required.
- An OID for this Code System appears to exist in HL7: 2.16.840.1.113883.6.177 see here.
| Yes | External Code System URI for use in FHIR | - The new Code System Engagement Process should be followed to obtain an agreed upon System URI for the MeSH Code System.
|
| 3 | FHIR-12932 | Code System for Canada Post 2-letter Canadian Provinces & Territories | 2 March 2017 | - The Canadian FHIR working group would like to add Code System & ValueSet URIs for Canada Post 2-letter Canadian Provinces & Territories.
| Yes | External Code System and Value Set to be added to the FHIR specification | - Noting the age of this issue, the HTA should find out whether these resources are still required.
- If so, the parties raising the issue should be invited to an HTA meeting to discuss the requirement and, materially, what the IP restrictions (if any) are for these 2-letter codes.
|
| 4 | FHIR-12999 | Add usps as a code system referenced in FHIR | 10 March 2017 | - A value set which references United States Post Services (USPS) two-letter codes for USA states existed at the time of this issue being raised and up until FHIR ST3 (see here) did not have an underpinning Code System. This issue was requesting that such as Code system be created and added to the FHIR specification.
- Subsequently, the referred to value set has been removed it is not present in R4 nor the current build.
| Yes | External Code System to be added to the FHIR specification | - Noting the age of this issue, and the removal of the value set, the HTA should find out whether this code system resource is still required.
- If so, the parties raising the issue should be invited to an HTA meeting to discuss the requirement and, materially, what the IP restrictions (if any) are for these USPS codes.
|
| 5 | FHIR-13079 | Add DSM-IV code system and value set URI | 17 March 2017 | - A request to add the American Psychiatric Association (APA) Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) code system URL associated implicit value set URI (of all codes), and reference source (pointing to Wikipedia) to the FHIR specification.
- The party raising the issue is suggesting a similar approach as the FHIR specification has taken with DSM V (see here). Where the following has been defined:
- Code System URI for DSM-V: http://hl7.org/fhir/sid/dsm5
- Reference / Source: https://en.wikipedia.org/wiki/DSM-5
| Yes | External Code System URI (and implicit value set URI of all codes) for use in FHIR | - Noting the age of this issue, the HTA should find out whether this addition to the FHIR specification (or indeed UTG) is still required.
- If so, the approach taken for DSM-V was endorsed by the APA, then the HTA can simply confirm with the APA that the suggested approach would be acceptable for DSM-IV.
- If so, the change can be supported by the HTA. If not, the new Code System Owner Engagement Process should be followed to obtain an agreed upon System URI and implicit value set URI (for all codes).
|
| 6 | FHIR-13111 | Add ICD-10-CA code system and value set | 20 March 2017 | - Request to add the Canadian Revision of ICD-10 (ICD-10-CA) Code System URL and Value Set URI to the FHIR specification.
- The requested Code System URI aligns with the FHIR specification's Using ICD-[X] Codes with FHIR page.
| Yes | External Code System URI (and implicit value set of all codes) for use in FHIR | - Noting the age of this issue, the HTA should find out whether this addition to the FHIR specification (or indeed UTG) is still required.
- If so, if the content on the Using ICD-[X] Codes with FHIR page in the FHIR specification is supported by the ICD-10-CA authorities and/or the WHO, then the request may be supported by the HTA.
|
| 7 | FHIR-13129 | Add code system for HCPCS | 23 March 2017 | - A request for a Code System URI for the Centres for Medicare & Medicaid Services (CMS) Healthcare Common Procedure Coding System (HCPCS) Level II codes for use in FHIR (see here).
- An OID for the coding system already exists: 2.16.840.1.113883.6.285
- In March 2019 a commenter notes that this System URL is required for the electronic Long-Term Services and Supports (eLTSS) FHIR Implementation Guide (IG) which is currently using the URN OID URI.
- This requirement has also been raised in the Terminology stream on FHIR Chat (see here)
| Yes | External Code System URI for use in FHIR | - The new Code System Owner Engagement Process should be followed to obtain an agreed upon System URI.
|
| 8 | FHIR-13378 | Add URI http://www.ada.org/cdt for the American Dental Association CDT dental procedure codes | 11 May 2017 | - A request for a Code System URI for the American Dental Association (ADA) Code on Dental Procedures and Nomenclature (CDT) coding system for use in FHIR (see here).
- An OID exists: 2.16.840.1.113883.6.13
- Proposed Code System URI: http://www.ada.org/cdt
- The current build of the external terminologies page of the FHIR specification appears to already include the suggested URI.
| Yes | External Code System URI for use in FHIR | - Unless prior approval to used the suggested URI has been sought and obtained from the ADA, the HTA should decide whether the URI should be withdrawn until such approval has been obtained.
- Noting the age of this issue, the HTA should find out whether this addition to the FHIR specification (or indeed UTG) is still required.
- The new Code System Owner Engagement Process should be followed to obtain an agreed upon System URI.
|
| 9 | FHIR-15572 | Adding a social service taxonomy as an external terminology | 20 February 2018 | - The requestor has posed the following query: "What would be needed to incorporate the Human Services section of the Open Eligibility Project as an accepted external terminology for identifying social services? We are devoloping[sic] integrations for users of the FHIR standard and we would like to help them maintain conformance."
| Yes | Query | - Noting the age of this issue, the HTA should find out whether this addition to the FHIR specification (or indeed UTG) is still required.
- If so, the requestor should be invited to an HTA meeting to describe the requirement.
|
| 10 | FHIR-16036 | FHIR URI resource for Clinical terminologies and Classifications | 28 April 2018 | - A request for Code System URIs for multiple coding systems.
| Yes | External Code System URI for use in FHIR | - Noting the age of this issue, the HTA should find out whether a resolution is still required.
- If so, we should assess the coding systems to determine which
- Already have Code System URIs
- Already have tickets/issues raised.
- Can be addressed through a new ticket/issue.
- Cannot be supported
- Are no longer required.
- The requestor should then be asked to withdraw this ticket and lodge individual tickets issues for those code systems for which a Code System URI can be pursued but the HTA.
|
| 11 | FHIR-19611 | Errata of Genomic Terminology System URIs | 4 November 2018 | - Request is to fix an incorrect Code System URI (http://www.ncbi.nlm.nih.gov/nuccore).
- The correct URIs are:
- http://www.ncbi.nlm.nih.gov/refseq
- http://www.ncbi.nlm.nih.gov/clinvar
- http://www.pharmgkb.org
- The changes appear to be been applied to the FHIR specification already.
| No | Correction | - This ticket / issue appears to be a correction.
- Assuming the URIs are agreed with the National Libraries of Medicines (NLM) there should be no further involvement from the HTA.
|
| 12 | FHIR-19696 | Need identifiers for system elements for transports | 27 November 2018 | - Request appears to be a for a new code system with codes for different device transport identifiers e.g. ethernet addresses, bluetooth addresses, etc.
- In July 2019, it appears the requestor created a code system as part of a FHIR IG: http://build.fhir.org/ig/HL7/PHD/ContinuaDeviceIdentifiers.html
| No | Creation of a new code system | - I would recommend that this ticket / issue be referred to the Vocabulary WG for assessment.
|
| 13 | FHIR-20573 | Add Code system for IMO Problem-IT | 21 March 2019 | - Request from IMO (a Code System owner/maintainer) to register their Code System URIs and OIDs for two Code Systems with FHIR:
- Problem-IT
- Procedure-IT
| Yes | External Code System URIs for use in FHIR | - Noting the age of this issue, the HTA should find out whether a resolution is still required.
- If so, and seeing that these come from the Code System owner, the request can be supported.
- If necessary, the requestor should be notified of how the content could be added to UTG.
|
| 14 | FHIR-20655 | Assign a URI for AHFS coding system | 4 April 2019 | - Request for a Code System URI for the American Society of Health-System Pharmacists (ASHSP) AHFS Pharmacologic-Therapeutic Classification (see here).
- An OID exists: 2.16.840.1.113883.6.234
| Yes | External Code System URIs for use in FHIR | - Noting the age of this issue, the HTA should find out whether this addition to the FHIR specification (or indeed UTG) is still required.
- If so, the new Code System Owner Engagement Process should be followed to obtain an agreed upon System URI.
|
| 15 | FHIR-25045 | Need a system URI for normalized NDC 11 | 24 October 2019 | - Request for a Code System URI for 11 digit NDC codes.
- The matter has been discussed on FHIR Chat (here) with no conclusion reached.
| Yes | External Code System URIs for use in FHIR | - Noting the age of this issue, the HTA should find out whether this addition to the FHIR specification (or indeed UTG) is still required.
- If so, the new Code System Owner Engagement Process should be followed to obtain an agreed upon System URI.
|
| 16 | FHIR-25058 | MED-RT Code System missing from Code Systems Page, NDF-RT has been retired | 28 October 2019 | - Request for NDF-RT to be updated on the FHIR external code systems page to indicate that it has been retired.
- Request for MED-RT to be added.
| Yes | External Code System URIs for use in FHIR | - Upon discussing and confirming the assertions made, this ticket / issue should be supported by the HTA and changes to the FHIR specification (and/or UTG) should be implemented.
|
| 17 | FHIR-25263 | Canonical URLs for nursing classifications ICF, ICNP, LEP, ENP, CCC | 4 December 2019 | - The requestor is seeking Code System URIs for a number of nursing Code Systems (e.g. ICNP, NANDA, NIC, NOC, LEP, ENP, CCC) for use in FHIR.
- The requestor has commenced enquiries with some of the code system owners.
| Yes | External Code System URIs for use in FHIR | - The new Code System Owner Engagement Process should be followed to obtain the required Code System URIs.
|
| 18 | FHIR-26323 | Create a system uri for icd-o-3 | 19 February 2020 | - A Code System URI is sought for the World Health Organization's International Classification of Diseases for Oncology, third edition ICD-O-3 (see here).
- Grahame Grieve has proposed: http://hl7.org/fhir/sid/ICD-O-3
- The matter has been discussed on FHIR Chat (here)
| Yes | External Code System URIs for use in FHIR | - The new Code System Owner Engagement Process should be followed to obtain the required Code System URI
|
| 19 | FHIR-26645 | invalid DSM-5 CodeSystem url | 23 March 2020 | - The issue raises concern with the idea that the American Psychiatric Association (APA) DSM-V is a standalone code system and asserts that it is, in fact, a value set made up of codes from other Code Systems.
- The matter has been discussed on FHIR Chat (here)but not resolved.
| Yes | Clarification from Code System owner. | - This matter may require the HTA to engage with the American Psychiatric Association (APA) to determine whether a Code System URI is appropriate.
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