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Date

19:00pm 00am - 312:00 pm 00pm on Tuesday 17th October 2017 (Bratislava local time)

Meeting Details

Venue: Crowne Plaza, Bratislava, Slovak Republic
Onlinehttps://snomed.zoom.us/my/snomedhl7
Chathttps://chat.snomedtools.org/channel/snomed-fhir
          (instructions and guide here - Getting Started with Rocket Chat)

Objectives

  • To plan, scope and progress collaborative work between SNOMED International Members relating to the use of SNOMED CT with HL7 FHIR

Discussion items

ItemDescriptionOwnerNotes
1Welcome, introductions and apologies
  •  General introductions and welcome
2Review existing and planned work
Review the scope of
  • Members to report on existing and planned work
by Members
  • with using SNOMED in HL7 FHIR
  • HL7 International and SNOMED International to report on
Review the scope of
  • existing and planned work
by HL7 International and SNOMED International
  • with using SNOMED in HL7 FHIR
3Collaborative deliverables and plans
  • Discuss the proposed scope of collaborative deliverables, for example:
    • What format will the deliverables take?
    • Are we providing general guidance for SNOMED CT use, or specific guidance for each resource (or both)?
  • Consider what existing or planned work can be leveraged
  • Who will be doing (and coordinating) the collaborative work?
  • Collaborative platforms for sharing the work as it progresses
  • Communication and meeting requirements
4Implementation Guidance Principles
  • Discuss the principles we should follow in developing the collaborative deliverables.
  • For example:
    • Is the goal to provide homogeneous population of the resources for interoperability or permissive guidance to cater for a greater degree of localisation?
    • Do we restrict value sets (in a computable way) to ensure that the same information cannot be represented in 2 different ways
(precoordinated or in separate fields
    • - for example:
      • The same semantics can/can't be represented both precoordinated and in separate fields
      • The same semantics can/can't be represented in more than one resource (e.g. Condition, Observation, Family History, Allergy Intolerance)
    • How widely do we require/recommend SNOMED CT to be used across the data elements within each resource, versus permitting other code systems to be used? E.g. vital signs, statuses
    • Which are the following are potentially in scope?
      • Restricting existing SNOMED CT value sets already bound to a FHIR resource to subhierarchies that are more semantically appropriate to the relevant data element
      • Defining new SNOMED CT value sets for data elements that do not currently use SNOMED CT
        • Unless they have a required binding to another code system?
      • Restricting the cardinality of data elements (e.g. body site) to reduce ambiguity
      • Splicing data elements to more closely align with the SNOMED CT concept model (only where necessary to avoid ambiguity?)
      • Providing mappings between FHIR value sets (e.g. statuses) and SNOMED CT codes (including context)
      • Providing SNOMED CT expression templates to allow implementations to transform between different ways of populating the same semantics in a FHIR resource
5Progress work
  • Progress specific work related to SNOMED CT use in FHIR artifacts, for example the SNOMED CT Implementation Guide for the Observation Resource
6Next steps
  • Discuss next steps, including future meetings and work items

 

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