Date/Time

20:00 UTC on Tuesday 18 December 2018 - 90 minutes.

Objectives

Bindings to FHIR Clinical Resources (e.g. value set bindings)

Meeting Details

Online: https://snomed.zoom.us/my/snomedhl7

Phone: See https://zoom.us/zoomconference for available phone numbers (meeting id 242-348-6949)

Chat: snomedIntl.slack.com #snomed-on-fhir

Attendees

Peter G. Williams, Rob Hausam, Daniel Karlsson, Jeremy Rogers, Jim Case, Linda Bird, Anne Randorff Højen, Roberta Severin, Peter Jordan, Jane Millar, Daniel Karlsson

Apologies

Meeting Recording

Discussion items

Item	Description	Mins	Owner	Notes & Actions
1	Welcome and introductions	5	Peter G. Williams Rob Hausam	Recording + Notes. Christmas Break: 25 Dec + 1 January Rob's Birthday. Next meeting on 15 January will collide with HL7 Meeting in San Antonio.
2	Potential for face to face meeting at the April Conference	10	Jane Millar Peter G. Williams	Sunday is the only option. What is the enthusiasm for a Sunday slot - afternoon slot so US attendance vial dial in feasible. Daniel in person, Peter + Rob dial in.
3	Summary of previous week (TS) and previous TB	5	Peter G. Williams Rob Hausam	2018-12-11 - SNOMED on FHIR Meeting (TS) 2018-12-04 - SNOMED on FHIR Meeting (TB)
4	Free SNOMED CT Set for FHIR	20	Jane Millar Jeremy Rogers Daniel Karlsson	Jane update re meetings with Keith (VA) and Wayne (HL7) Free SNOMED CT set for FHIR Are the mappings suggested complete and ready as a recommendation?
5	Exemplar Profile	20	Daniel Karlsson	Publishing Profiles Wrapped by implementation guide - in this case https://github.com/IHTSDO/snomed-ig Value set publish to a live SI hosted Snowstorm instance. Alternatively Michael Lawley has offered to host. Additional hosting on Simplifier (STU3, not yet R4 - January?) Suggestion to review work already done to ensure R4 compatibility Would value sets also be published as reference sets? Maintain via Refset tool and published in MLDS. Note: UK experienced substantial 'getting off the ground' effort in this area. Sweden have worked through ~10 (will request promotion of content to International Edition where appropriate). Option to have multiple profiles available at the same time using slicing. Chance to do some technical work at HL7 San Antonio Peter G. Williams discuss Rory Davidson
6	Allergies	X	Daniel Karlsson	Revisit any outstanding questions on Allergies.
7	Vital Signs	X	Daniel Karlsson	Vital Signs Resource Jeremy's work to compare Vital signs profile and SNOMED Subhierarchy - issues with eg blood pressure. Complex expression constraints available which cover the use of observables by the NHS(UK). Mapping to LOINC codes. See Spreadsheet attached to: SNOMED on FHIR Meeting (TB) - Tuesday 21 August 2018 Issues / Discussion : Normative vs. descriptive purpose - 1, 2, or 3 profiles? Unresolved modeling issues
8	v3.0.1 ProcedureRequest ReferralRequest v3.4.0 (publication Aug 19?) ServiceRequest	X	Daniel Karlsson	Neither of these exist in the FHIR 3.0.1 Spec. Rob Hausam http://build.fhir.org/servicerequest.html → ServiceRequest Questions: What determines which FHIR resource to use: the location of the data item in the sending system’s information model, or the semantics of the particular code regardless of where it was found? Some hybrid of both? If the resource to be used is determined at least partly by the location in the sending information model, how does a requesting system cope with the fact that different implementations (or different users of the same implementation) both can and do secrete essentially the same clinical info in very different parts of the host information model?
9	Next meeting	5		Tuesday 22 January 2019 (HL7 San Antonio collision on 15 January) Peter G. Williams change round meeting invites.