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Release DateApril 2017InfoRMSSR-26

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Current Release Information

DateJanuary 2022
Code SystemSNOMED CTCode System Version

International: January 2017

Canadian: April 2017

Release TypeMaintenance
Scope Statement

Included in this release:

  • Requests to add, change or inactivate content in both English and French received between March 2016 and March 2017
  • Corrections to content (typographical errors, metadata updates etc.) 
  • Change logs are available via the Terminology Gateway
Immunization subsets
  • AntigenCode
  • ImmunoglobulinCode
  • PassiveAdministeredImmunizingAgentCode
  • PassiveHistoricalImmunizingAgentCode
  • VaccineAdministeredTradeNameCode
  • VaccineHistoricalNameCode
  • VaccinePreventableDiseaseCode

 

   

Immunization General Notes

Current ReleaseSee Terminology Gateway


About the PrescribeIT® Subsets

Canada Health Infoway is working with Health Canada, the provinces and territories, and industry stakeholders to create, operate and maintain a financially self-sustaining, multi-jurisdiction e-prescribing service, known as PrescribeIT®. This will be a single service that can be scaled for use across the country enabling prescribers to electronically transmit a prescription to a patient’s pharmacy of choice.

The pan-Canadian PrescribeIT™ subsets

The Immunization Subsets

provide a standardized way for systems to capture, store, retrieve and transmit

immunization

related health information. 

Implementation of the immunization subsets will enable public health and other health care providers to meet the business requirements of recording administration of vaccines (current and past), inventory management and immunization forecasting.

The subsets are supported by a Canadian vaccine model where the concepts and terms are linked together through relationships to allow analytics to be performed.  The concepts and terms authored in the SNOMED CT® Canadian extension align with the Public Health Agency of Canada (PHAC) Canadian Immunization Guide (CIG).

In the immunization domain, it is expected that new content will be developed on an ongoing basis and will most probably be exclusive to Canada, although any existing SNOMED CT International content will be leveraged where possible.

The newly developed content will reside in the Canadian Extension/Edition with a status of ‘active’ or ‘current’. The status of ‘current’ means the content remains in the Canadian Extension/Edition because it is not suitable for International inclusion. The status of ‘pending move’ will no longer be used in the future.

Once the Canadian content is promoted to core, the conceptid will be retained by IHTSDO. This will allow the users to use the same conceptid with no disruption or mapping.

The criteria for a concept or a description to be defined with a status of ’current’ is:

  • TradeName;
  • concept or description with 'unspecified'
  • concept or description with 'low dose/standard dose or 'X strength'

The following concepts or descriptions will be candidates for core inclusion. Users can expect these to be promoted to international core:

  • Generic substance
  • Generic product

 

Version numbers for EMR vendor specification, PMS vendor specifications and FHIR specifications follow the versioning convention of using   X.Y.Z (e.g. 2.0.1) where X is incremented when there is a major release, Y is incremented when there is a minor release and Z is incremented when there is a patch.

A major release is defined as any change that is not backwards compatible, a minor release is defined as a change to add new functionality that results in a change to the messaging interface and a patch is defined as a change that does not result in a change to the messaging interface.

The PrescribeIT® subset PrescriptionMedicinalProduct is based on the Canadian Clinical Drug Data Set (CCDD).  Every time a new IG pack is generated, this subset will get updated with the most recent values.  There is no fixed cadence for IG pack generation but normally new IG packs are generated for each new release of PrescribeIT.

Implementing this Release: The subsets with the same colored font complement each other; one subset includes the passive agent and the other includes the vaccine.

The following four subsets should be implemented together:

VaccineAdministeredTradeNameCode

VaccineHistoricalNameCode

PassiveAdministeredImmunizingAgentCode

PassiveHistoricalImmunizingAgentCode

 

 

AntigenCode and ImmunoglobulinCode subsets also complement each other and should be implemented together.

AntigenCode

ImmunoglobulinCode

The VaccinePreventableDiseaseCode subset includes diseases that are prevented by administration of vaccines.

VaccinePreventableDiseaseCode

Capitalization of the FR descriptions (first letter of the description)

  • Terms translated as part of the original translation project in 2009 were not capitalized The translated terms were not capitalized when translated in 2009 (as part of the FR translation project)
  • French descriptions in the  May 2015 extension  and the October 2016 release are also not capitalized
  • Note that the subsets published by Infoway that contained FR descriptions were manually capitalized to align with the English descriptions.
    • For the October 2016 release, the seven (7) Immunization subsets will have French descriptions in lower case unless explicitly stated as these were generated from the authoring tool and not manually augmented.

Canadian Editorial Guidelines

Infoway has developed generic and immunization specific editorial guidelines. These editorial guidelines follow the IHTSDO’s editorial guidance as the baseline, but additional specifications are provided to avoid ambiguity and reflect Canadian specific requirements.

Implementers are encouraged to review the Canadian editorial guidelines before submitting a request for a new concept or a change to an existing concept. 

 

Implementation Considerations

Jurisdictions that have not previously used the immunization subsets may begin to use the new version immediately.

The subsets reference the January 2017 International data files for SNOMED CT and the April 2017 release of the Canadian Extension/Edition.

Jurisdictions that have already implemented the immunization subsets can review the changes from the terminology Gateway change logs. A review of the changes will help to determine how the changes impact the work completed to date.

Some items for consideration:

  • Review the codes that have been inactivated to see if they are currently in use. Inactivated codes should no longer be used.
  • Review records that have been modified  to ensure the modifications do not impact the use of that code in the system.
  • Review new records added to the CA Extension/Edition and determine if local codes should be updated.