Stream: committers
Topic: Snomed on FHIR
Melva Peters (Jul 30 2018 at 20:33):
There have been some meetings with IHTSDO to review SnoMed content in the FHIR resources. From a Pharmacy perspective, they raised an issue where we have bound to multiple hierarchies (value set is in MedicationAdministration for reason not given (Value Set http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes). Can anyone help with how we should do? Given this is exemplar, should we just point to one hierarchy?
Grahame Grieve (Jul 30 2018 at 20:35):
in principle it's not wrong to bind to multiple heirarchies but in particular cases it could be a very bad idea. I don't have an opinion on this particular value set
Melva Peters (Jul 30 2018 at 20:36):
are you aware of when you should post questions like this this? @Rob Hausam
Rob Hausam (Jul 30 2018 at 20:40):
Did you mean "where you should post questions like this?" If so, I think the best place for this would be the terminology stream.
Rob Hausam (Jul 30 2018 at 20:42):
I'll look at it again and post a reply.
Melva Peters (Jul 30 2018 at 20:50):
@Rob Hausam is there a specific stream for the Snomed on FHIR discussions?
Rob Hausam (Jul 30 2018 at 20:55):
Yes, there is the snomed stream - that probably is the best place (wouldn't hurt to ping the terminology stream, too, and direct to the snomed discussion). The snomed stream used to be automatically cross-posted to the SNOMED Int. chat site, but that wasn't used much and isn't working now as they're moving to Slack (it would be good to post something there, too).
Melva Peters (Jul 30 2018 at 21:44):
I posted in the Snomed stream and copied to the Terminology chat.
Donna Truran (Aug 13 2018 at 05:59):
in principle it's not wrong to bind to multiple heirarchies but in particular cases it could be a very bad idea. I don't have an opinion on this particular value set
It's not wrong to use content from multiple hierarchies, though caution is needed. It will be necessary to use multi-hierarchy concepts to fulfil real world use cases. The ValueSet, as it stands, doesn't include any concepts from different (numerous) hierarchies because it defines is-A 242990004 and there are no child concepts of 242990004 (and event) anyway.
Last updated: Apr 12 2022 at 19:14 UTC
