Merge pull request #35 from standardhealth/onco_2

First Iteration of Oncology IG

spec/shr_base.txt

@@ -172,7 +172,7 @@ Description:	"An order for something to take place. Using NonOccurrenceModifier,
 		Element:		RequestedPerformerType
 		Concept:		TBD
 		Description:	"What type of actor should carry out the testing."
-		Value:			TBD
+		Value:			CodeableConcept // WHAT ValueSet??
 
 		Element:		RequestedPerformer
 		Concept:		TBD

spec/shr_behavior.txt

@@ -10,11 +10,10 @@ CodeSystem:     MTH = http://ncimeta.nci.nih.gov
 
 Element:		BehavioralObservation
 Concept:		MTH#C0004927
-Based on:		CodeableConceptObservation
+Based on:		Observation
 Description:	"A statement about observable responses, actions, or activities of the subject. Can be used to assert or deny behaviors."
 1..*			ObservationCategory includes LNC#54511-1 "Behavior"
 0..*			TBD "Impact" // adverse event, elevated risk, etc., as well as when the impact occurred, severity, and other aspects
-0..*			AssessmentTool
 0..1			ReadinessToChange
 
 	Element:		AssessmentTool
@@ -48,7 +47,7 @@ Value:			CodeableConcept from ThreeValueLogicVS
 
 // It is not clear how to handle ONC smoking status except as a simple observation. It should really be aligned with SubstanceUse so there is an explicit substance.
 EntryElement:	ONCSmokingStatus
-Based on:		Observation
+Based on:		CodeableConceptObservation
 Concept:		LNC#11367-0
 Description:	"Records the subject's use of tobacco."
 Value:			CodeableConcept from http://hl7.org/fhir/us/core/ValueSet/us-core-observation-ccdasmokingstatus
@@ -84,7 +83,7 @@ Value:			CodeableConcept from TBD "AlcoholUseVS"  // e.g. former heavy drinker,
 
 EntryElement:	ReligiousPractice
 Concept:		MTH#C0035039
-Based on:		BehavioralObservation
+Based on:		CodeableConceptObservation
 Description:	"The religion practiced by the focal subject."
 Value:			CodeableConcept from http://hl7.org/fhir/v3/ReligiousAffiliation
 				ObservationCode is LNC#81364-2
@@ -110,10 +109,10 @@ Value:			CodeableConcept from http://hl7.org/fhir/v3/ReligiousAffiliation
 
 EntryElement:		DietAndNutrition
 Concept:			MTH#C0012155
-Based on:			BehavioralObservation
+Based on:			Panel
 Description:		"The usual food and drink consumed by an individual."
 Value:				CodeableConcept from TBD "DietAndNutritionVS"  // summary values for overall nutrition healthiness
-					ObservationCode is MTH#C0012155
+					PanelCode is MTH#C0012155
 0..*				SpecialDietFollowed
 1..1				HasSufficientFood
 0..*				DietNutritionConcern
@@ -137,10 +136,10 @@ Value:				CodeableConcept from TBD "DietAndNutritionVS"  // summary values for o
 
 EntryElement:		SleepQuality
 Concept:			MTH#C0424563
-Based on:			BehavioralObservation
+Based on:			Panel
 Description:		"Self-reported sleep quality."
 Value:				CodeableConcept from PerformanceGradingScaleVS
-					ObservationCode is LNC#28323-4
+					PanelCode is LNC#28323-4
 0..1				TroubleFallingAsleep
 0..1				TroubleStayingAsleep
 0..1				WakeFeelingRested
@@ -173,13 +172,14 @@ Value:				CodeableConcept from PerformanceGradingScaleVS
 		Value:			CodeableConcept from SleepQualityReasonVS
 
 EntryElement:		PhysicalActivityLevel
-Based on:			BehavioralObservation
+Based on:			Panel
 Concept:			MTH#C0026606
 Description:		"The amount of exercise or other physical activity compared to others of the same age.  See BMC Medical Research Methodology 2012 12:20 1471-2288."
 Value:				CodeableConcept from QualitativeValueScaleVS
-					ObservationCode is LNC#28323-4
+					PanelCode is LNC#28323-4
 0..1				ExerciseHoursPerWeek
 0..*				PhysicalActivityLimitation
+0..1				TBD "MetabolicEquivalent"
 
 		Element:		ExerciseHoursPerWeek
 		Concept:		TBD
@@ -192,6 +192,7 @@ Value:				CodeableConcept from QualitativeValueScaleVS
 		Value:			CodeableConcept from PhysicalActivityLimitationVS
 
 
+
 EntryElement:	SubstanceAbuseTreatment
 Concept: 		TBD
 Based on:		Procedure

spec/shr_behavior_map.txt

@@ -9,6 +9,3 @@ SubstanceUse:
 ReligiousPractice:
 	Value maps to http://hl7.org/fhir/StructureDefinition/patient-religion  //????
 	ReligiousCongregation maps to http://hl7.org/fhir/StructureDefinition/patient-congregation
-
-ONCSmokingStatus:
-	Value maps to value[x].CodeableConcept

spec/shr_careplan.txt

@@ -0,0 +1,93 @@
+Grammar:	ValueSet 4.0
+Namespace:	shr.careplan
+
+Uses:			shr.core, shr.problem
+
+/*
+
+Element:		Intervention
+Concept:		TBD
+Description:	"An action taken to address a undesired health state, behavior, risk, or goal."
+1..1			InterventionStatus
+0..*			ReasonToDo
+0..*			ReasonNotToDo
+0..*			ReasonHalted
+0..1			DoNotDoModifer
+0..*			Participant
+
+	Element:		InterventionStatus
+	Concept:		TBD
+	Description:	"The lifecycle or workflow state of a executable action or process."
+	Value:			CodeableConcept from InterventionStatusVS
+
+	Element:		ReasonToDo
+	Concept:		MTH#C3146298
+	Description:	"A situation which makes a particular treatment or procedure advisable."
+	Value:			CodeableConcept or Problem or Risk or Goal
+
+	Element:		ReasonNotToDo
+	Concept:		TBD
+	Description:	"The explanation on why the intervention should not be done, for example, a contraindication."
+	Value:			CodeableConcept or Risk or Problem or Behavior or MedicationUse //SubstanceUse? Environment? Genetic marker?
+
+	Element:		ReasonHalted
+	Concept:		TBD
+	Description:	"The explanation on why the intervention was halted or otherwise interrupted."
+	Value:			CodeableConcept or Risk or Condition
+
+	Element:		DoNotDoModifier
+	Concept:		TBD
+	Description:	"If true, indicates the intervention described should not be done. In this case, the intervention status should be rejected."
+	Value:			boolean
+
+
+
+EntryElement:	Goal
+Concept:		MTH#C0018017
+Description:	"A broad statement about what should be accomplished. It represents the intended long-term outcome toward which an individual or a group aspires, and toward which, effort is directed, in the form of activities."
+0..1			Title
+0..1			Description
+1..1			GoalStatus   // has the same value set as InterventionStatus
+0..1			ProjectedAchieveDate
+0..1			ActualAchieveDate
+0..1			DeferredDate
+0..*			Objective
+
+
+	Element:		Objective
+	Concept:		TBD
+	Description:	"An expected or desired achievement that is well-defined, specific, measurable, and derived from one or more goal(s)."
+	Based on:		Goal
+	0..0			Objective  // do not allow sub-objectives
+	1..*			TBD "Target"
+
+
+
+
+
+EntryElement:	Careplan
+Concept:		MTH#C0178916
+Description:	"Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions."
+0..1			Title
+0..1			Description
+1..1			ActionStatus
+0..*			CareplanCategory
+0..1			EffectiveTimePeriod
+0..*			Author
+0..*			Participant
+1..*			Goal
+1..*			Activity
+
+
+		Element:		CareplanStatus
+		Concept:		TBD
+		Description:	"A code specifying the state of the care plan."
+		Value:			code from http://hl7.org/fhir/ValueSet/event-status
+
+		Element:		CareplanCategory
+		Concept:		TBD
+		Description:	"Identifies what kind of plan this is to support differentiation between multiple co-existing plans, e.g. Home health, psychiatric, asthma, disease management, wellness, etc."
+		Value:			CodeableConcept
+
+*/
+

spec/shr_careplan_map.txt

@@ -0,0 +1,3 @@
+Grammar:	Map 4.1
+Namespace:	shr.careplan
+Target:		FHIR_STU_3

spec/shr_careplan_vs.txt

@@ -0,0 +1,20 @@
+Grammar:	ValueSet 4.0  
+Namespace:	shr.careplan
+
+ValueSet: 					InterventionStatusVS
+Description:				"Value indicating whether an activity is currently being acted upon, represents future intentions or is now a historical record. From HL7 V3 Reference Information Model."
+#proposed_against			"An intervention to avoid, something NOT to do."
+#proposed					"Suggested or possible intervention, not necessarily accepted by patient or provider."
+#rejected					"A course of action that has been rejected."
+#accepted					"Accepted and pending, scheduled, or waiting to start"
+#active						"In process, being acted on"
+#cancelled					"Stopped before execution begins"
+#suspended					"Stopped temporarily, suspended."
+#aborted					"Stopped after execution began"
+#completed					"Finished"
+#nullified					"Overridden or otherwise not executable, e.g., entered in error"
+#obsolete					"Old plan, no longer relevant"
+#unknown					"Status is unknown"
+
+
+

spec/shr_core.txt

@@ -37,9 +37,10 @@ Value:			code
 
 	Element:		VocabularyVersion
 	Concept:		TBD
-	Based on:		Version
+	//Based on:		Version 
 	Description:	"The version of the vocabulary being used, if applicable."
-
+	Value:			string // Should be id type in FHIR, but it is a string (no issue recorded yet)
+
 Element:		CodeableConcept
 Concept:		TBD
 Description:	"A set of codes drawn from different coding systems, representing the same concept."
@@ -50,13 +51,13 @@ Description:	"A set of codes drawn from different coding systems, representing t
 // -------------------  Quantities -----------------
 
 Element:		Quantity
-Description:	"A quantity with Units."
+Description:		"A quantity with units."
 Value:			decimal
 0..1			Units
 
 		Element:		Units
 		Concept:		TBD
-		Description:	"Code for the unit of measure of the quantity."
+		Description:		"Code for the unit of measure of the quantity."
 		Value:			Coding from http://hl7.org/fhir/ValueSet/ucum-units // or Coding from CURRENCY
 
 Element:		UpperBound
@@ -545,7 +546,7 @@ Value:			string
 Element:		Version
 Concept:		MTH#C0333052
 Description:	"A string identifying the particular of form of something (such as a code system or software product) that is different in some way from another form of the same thing."
-Value:			string
+Value:			id
 
 Element:		Identifier
 Concept:		TBD
@@ -558,3 +559,8 @@ Element:		Reason
 Concept:		MTH#C0566251
 Description:	"The justification for an action or non-action, conclusion, opinion, etc."
 Value:			string or CodeableConcept
+
+Element:		Title
+Concept:		TBD
+Description:	"A distinguishing word or group of words naming an item."
+Value:			string

spec/shr_demographics.txt

@@ -13,7 +13,7 @@ Concept:		MTH#C1299487, LNC#54125-0
 Description:	"Extended demographic information about the subject of this SHR."
 1..1			DateOfBirth
 1..1			PlaceOfBirth
-1..1			MultipleBirth
+0..1			MultipleBirth
 1..1			BirthSex
 1..1			AdministrativeGender
 1..1		 	Race
@@ -44,7 +44,7 @@ Description:	"Extended demographic information about the subject of this SHR."
 		Element:		MultipleBirthOrder
 		Concept:		LNC#73771-8
 		Description:	"Order of birth of the person in multiple birth event (if part of multiple birth)."
-		Value:			positiveInt
+		Value:			integer // should be positiveInt, but it is an integer in FHIR (no issue yet logged)
 
 	Element:		BirthSex
 	Concept:		MTH#C4086849
@@ -160,7 +160,7 @@ Description:	"Extended demographic information about the subject of this SHR."
 		Element:  		TelecomQualifier
 		Concept:		TBD
 		Description:	"Provides more information about the type and uses of the telecom address."
-		Value:			code from TelecomQualifierVS
+		Value:			code from http://hl7.org/fhir/ValueSet/contact-point-use
 
 	Element:		TelephoneNumber
 	Concept:		MTH#C1515258
@@ -172,14 +172,14 @@ Description:	"Extended demographic information about the subject of this SHR."
 	Based on:		TelephoneNumber
 	Concept:		TBD // MTH lacks the generic concept of a home phone number
 	Description:	"A telephone number associated with a person's residence."
-					TelecomQualifier includes #personal   // Chris - do we have to give the name of the value set??
+					TelecomQualifier is #home
 
 
 	Element:		WorkTelephoneNumber
 	Based on:		TelephoneNumber
 	Concept:		TBD // MTH lacks the generic concept of a home phone number
 	Description:	"A telephone number associated with a person's residence."
-					TelecomQualifier includes #work   // Chris - do we have to give the name of the value set??
+					TelecomQualifier is #work
 
 	Element: 		MedicalInterpreterNeeded
 	Concept:		MTH#C1442531
@@ -207,4 +207,4 @@ Value: 			CodeableConcept from InsuranceProviderTypeVS
 	Element:	 	InsuranceMemberId
 	Concept:		TBD
 	Description:	"Patient identifier at a healthcare provider, insurer, or other related organization."
-	Value:			id
+	Value:			string  // should be id, but FHIR uses string