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fix(fhir): code allergy and injury conditions with active SNOMED CT concepts
Allergy used 106190000, inactive since 2013; it is now 473011001 Allergic condition. Injury keeps 417163006 with the display SNOMED CT publishes, Traumatic or non-traumatic injury; the old display was rejected.
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@@ -67,8 +67,8 @@ function conditionForType(type: string): FhirCondition {
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describe("illness → SNOMED category coding (v1.18.8)", () => {
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const cases: Array<[string, string, string]> = [
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["INFECTION", "40733004", "Infectious disease"],
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["ALLERGY", "106190000", "Allergy"],
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["INJURY", "417163006", "Traumatic AND/OR non-traumatic injury"],
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["ALLERGY", "473011001", "Allergic condition"],
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["INJURY", "417163006", "Traumatic or non-traumatic injury"],
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["MENTAL_HEALTH", "74732009", "Mental disorder"],
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["AUTOIMMUNE", "85828009", "Autoimmune disease"],
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["CHRONIC", "27624003", "Chronic disease"],
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@@ -36,8 +36,10 @@ export interface IllnessSnomedCategory {
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* `IllnessType` enum value → broad SNOMED CT category concept.
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*
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* - INFECTION → 40733004 "Infectious disease (disorder)"
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* - ALLERGY → 106190000 "Allergy (disorder)"
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* - INJURY → 417163006 "Traumatic AND/OR non-traumatic injury (disorder)"
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* - ALLERGY → 473011001 "Allergic condition (finding)"
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* (106190000 "Allergy", used before, is inactive since
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* 2013)
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* - INJURY → 417163006 "Traumatic or non-traumatic injury (disorder)"
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* (spans both, the honest broad class for a journal entry)
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* - MENTAL_HEALTH → 74732009 "Mental disorder (disorder)"
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* - AUTOIMMUNE → 85828009 "Autoimmune disease (disorder)"
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@@ -45,16 +47,17 @@ export interface IllnessSnomedCategory {
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* - OTHER → 64572001 "Disease (disorder)" — the generic root, the
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* correct fallback for an unspecified class.
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*
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* Every code and display here was checked with the official HL7 FHIR
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* validator (validator_cli, R4) against tx.fhir.org's SNOMED CT International
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* edition: active concept, accepted display.
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*
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* An unknown / future enum value resolves to the generic `DISEASE_SNOMED`
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* root via the builder's fallback, never a guessed specific concept.
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*/
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export const ILLNESS_TYPE_SNOMED: Record<string, IllnessSnomedCategory> = {
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INFECTION: { code: "40733004", display: "Infectious disease" },
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ALLERGY: { code: "106190000", display: "Allergy" },
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INJURY: {
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code: "417163006",
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display: "Traumatic AND/OR non-traumatic injury",
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},
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ALLERGY: { code: "473011001", display: "Allergic condition" },
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INJURY: { code: "417163006", display: "Traumatic or non-traumatic injury" },
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MENTAL_HEALTH: { code: "74732009", display: "Mental disorder" },
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AUTOIMMUNE: { code: "85828009", display: "Autoimmune disease" },
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CHRONIC: { code: "27624003", display: "Chronic disease" },
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