Problem loading ValueSet from Belgium's AllergyIntolerance IG

[marceloabrumet]

Hello,
I'm currently investigating compatibility between the hapi-fhir-jpaserver-starter and Belgium's IGs but I'm currently having problems with this specific ValueSet: https://www.ehealth.fgov.be/standards/fhir/allergy/ValueSet-be-causativeagent.html

The ValueSet looks like this:

"resourceType": "ValueSet",
  "id": "be-causativeagent",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This value set includes codes based on the following rules:</p><ul><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  in  50851000172106 (Belgian subset for AllergyIntolerance, causative agent, non-drug)</li><li>Include codes from <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a> where concept  in  50841000172109 (Belgian subset for AllergyIntolerance, causative agent, drug)</li></ul></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "https://www.ehealth.fgov.be/standards/fhir/allergy/ValueSet/be-causativeagent",
  "version": "1.2.0",
  "name": "BeCausativeAgent",
  "title": "BeCausativeAgent",
  "status": "active",
  "experimental": false,
  "date": "2023-12-18T12:02:54+01:00",
  "publisher": "eHealth Platform",
  "contact": [
    {
      "name": "eHealth Platform",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.ehealth.fgov.be/standards/fhir"
        },
        {
          "system": "email",
          "value": "[email protected]"
        }
      ]
    },
    {
      "name": "Message Structure eHealth",
      "telecom": [
        {
          "system": "email",
          "value": "[email protected]",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Causative Agents for Allergy (non medication)",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "BE",
          "display": "Belgium"
        }
      ]
    }
  ],
  "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (SNOMED International), and distributed by agreement between SNOMED International and HL7. Implementer use of SNOMED CT is not covered by this agreement",
  "compose": {
    "include": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/11000172109",
        "filter": [
          {
            "property": "concept",
            "op": "in",
            "value": "50851000172106"
          }
        ]
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/11000172109",
        "filter": [
          {
            "property": "concept",
            "op": "in",
            "value": "50841000172109"
          }
        ]
      }
    ]
  }
}

It should take the values from 2 subsets found in the latest SNOMED CT Belgian Edition (http://snomed.info/sct/11000172109):

• SCTID 5085100017210: Belgian subset for AllergyIntolerance, causative agent, non-drug (https://browser.ihtsdotools.org/?perspective=full&conceptId1=50851000172106&edition=MAIN/SNOMEDCT-BE/2024-12-15&release=&languages=en,nl,fr,de)
• SCTID 50841000172109: Belgian subset for AllergyIntolerance, causative agent, drug (https://browser.ihtsdotools.org/?perspective=full&conceptId1=50841000172109&edition=MAIN/SNOMEDCT-BE/2024-12-15&release=&languages=en,nl,fr,de)

I'm importing Beglgium's AllergyIntolerance IG like this in the application.yaml file:

(I'm also importing the Belgian Core IG, not in the image)

After a while I should expect all of my ValueSet to be expanded, but BeCausativeAgent says "FAILED TO EXPAND":

And this is the error I get:

2025-01-08T18:58:15.046+01:00 ERROR 41236 --- [ler-clustered-1] ca.uhn.fhir.jpa.term.TermReadSvcImpl     : Failed to pre-expand ValueSet with URL[https://www.ehealth.fgov.be/standards/fhir/allergy/ValueSet/be-causativeagent]: HAPI-0888: org.hl7.fhir.common.hapi.validation.support.InMemoryTerminologyServerValidationSupport$ExpansionCouldNotBeCompletedInternallyException: HAPI-0702: Unable to expand ValueSet because CodeSystem could not be found: http://snomed.info/sct|http://snomed.info/sct/11000172109

ca.uhn.fhir.rest.server.exceptions.InternalErrorException: HAPI-0888: org.hl7.fhir.common.hapi.validation.support.InMemoryTerminologyServerValidationSupport$ExpansionCouldNotBeCompletedInternallyException: HAPI-0702: Unable to expand ValueSet because CodeSystem could not be found: http://snomed.info/sct|http://snomed.info/sct/11000172109
	at ca.uhn.fhir.jpa.term.TermReadSvcImpl.expandValueSetHandleIncludeOrExclude(TermReadSvcImpl.java:1051)
	at ca.uhn.fhir.jpa.term.TermReadSvcImpl.lambda$doExpandValueSet$2(TermReadSvcImpl.java:934)
	at org.springframework.transaction.support.TransactionOperations.lambda$executeWithoutResult$0(TransactionOperations.java:68)
	at org.springframework.transaction.support.TransactionTemplate.execute(TransactionTemplate.java:140)
	at org.springframework.transaction.support.TransactionOperations.executeWithoutResult(TransactionOperations.java:67)
	at ca.uhn.fhir.jpa.term.TermReadSvcImpl.doExpandValueSet(TermReadSvcImpl.java:934)
	at ca.uhn.fhir.jpa.term.TermReadSvcImpl.expandValueSet(TermReadSvcImpl.java:896)
	at ca.uhn.fhir.jpa.term.TermReadSvcImpl.preExpandDeferredValueSetsToTerminologyTables(TermReadSvcImpl.java:2461)
	at java.base/jdk.internal.reflect.NativeMethodAccessorImpl.invoke0(Native Method)
	at java.base/jdk.internal.reflect.NativeMethodAccessorImpl.invoke(NativeMethodAccessorImpl.java:77)
	at java.base/jdk.internal.reflect.DelegatingMethodAccessorImpl.invoke(DelegatingMethodAccessorImpl.java:43)
	at java.base/java.lang.reflect.Method.invoke(Method.java:568)
	at org.springframework.aop.support.AopUtils.invokeJoinpointUsingReflection(AopUtils.java:355)
	at org.springframework.aop.framework.CglibAopProxy$DynamicAdvisedInterceptor.intercept(CglibAopProxy.java:716)
	at ca.uhn.fhir.jpa.term.TermReadSvcImpl$$SpringCGLIB$$0.preExpandDeferredValueSetsToTerminologyTables(<generated>)
	at ca.uhn.fhir.jpa.term.TermReadSvcImpl$Job.execute(TermReadSvcImpl.java:3226)
	at org.quartz.core.JobRunShell.run(JobRunShell.java:202)
	at org.quartz.simpl.SimpleThreadPool$WorkerThread.run(SimpleThreadPool.java:573)

Is there a correct way of importing this kind of ValueSet? Is HAPI compatible with this kind of ValueSet?

Thanks,

Marcelo

[XcrigX]

Do you have a CodeSystem resource with matching System and Versions from the ValueSet ?

        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/11000172109",

(That version looks weird to me. I'm not familiar with snomed versioning, so it may be correct, but it looks odd)