Stream: shorthand
Topic: valueset snomed no expansion
Gino Almondo (Jan 19 2021 at 11:23):
I wrote the following fsh defining a ValueSet which uses codes from the Swedish version of SNOMED (with URI http://snomed.info/sct/45991000052106)
Alias : SCT_SE = http://snomed.info/sct/45991000052106
ValueSet: SeverityValueSet
Id: severity-value-set
Title: "Severity Value Set"
Description: ""
* include SCT_SE#442452003 "livshotande"
* include SCT_SE#59021000052107 "skadlig"
* include SCT_SE#59031000052109 "besvärande"
When running sushi on the fsh-file I do get out a resource, but I do not see an expansion of the valueset with links to each concept in the valueset (see screenshot). I do get an expansion if I indicate the "base" version of SNOMED, however.
Is this known behavior/as it should? Or am I doing something wrong?
Jose Costa Teixeira (Jan 19 2021 at 14:04):
I don't know if that is the right way to express a national release of SNOMED.
Jose Costa Teixeira (Jan 19 2021 at 14:05):
you are still referring to SNOMED. The problem is that the terminology server does not know the swedish extension, so those codes are not known in the normal SNOMED
Gino Almondo (Jan 19 2021 at 14:43):
Thank you for your answer Jose :)
I do think that is the way to refer to a national release of SNOMED and that the ID of the swedish edition is right, at least according to this https://www.hl7.org/fhir/snomedct.html#4.3.1.0.3
There it says that if one does not specify the version, the terminology server might revert to the latest version of the international edition. I at the moment do not specify the version, so that might explain why the codes are not known.
Jose Costa Teixeira (Jan 19 2021 at 16:09):
thanks Gino, I did not know of this syntax. The next issue may be if the server does not support the Swedish edition of SNOMED
Arvid Thunholm (Jan 19 2021 at 16:13):
I know that the department of health and welfare are trying to get the swedish version published in the terminology server and are talking with Graham about this.
We refer to a swedish Snomed codesystem like this: http://snomed.info/sct|http://snomed.info/sct/45991000052106
@Daniel Karlsson will know more about this
Chris Moesel (Jan 19 2021 at 16:23):
Right. It hasn't been explicitly mentioned yet -- but I don't believe that this is a SUSHI/FSH issue. SUSHI doesn't expand value sets -- that is the job of the HL7 IG Publisher; and if the HL7 IG Publisher doesn't yet support the Swedish edition of SNOMED, that would explain what you're seeing in the published value set.
Rob Hausam (May 15 2021 at 12:09):
@Arvid Thunholm This is a long delayed response. But I want to let you know that I was working for a while with @Daniel Karlsson on getting the Swedish edition of SNOMED CT imported and supported on tx.fhir.org, but we ran into some impediments and since then it's been on the back burner for a while. I have the importer issue resolved now and I'm happy to try again and I think we should be able to make progress with this now. The main thing that we need to make it work is a current and complete Swedish edition snapshot in a single set of files (that's what Daniel and I had worked on, but I think it likely will need some updating now).
Daniel Karlsson (May 17 2021 at 06:50):
Sorry for an even longer delay in response, @Rob Hausam and I were working on getting the Swedish SNOMED CT edition into tx.fhir.org. Now we're almost at the next Swedish release (May 31) but after this we might give this a new try. Alternatively, we could set up a separate terminology server instance somewhere.
Rob Hausam (May 17 2021 at 06:54):
I'd say let's give it a go again after May 31. We just need to figure out a staightforward but systematic approach to combining the files, so it's a repeatable process that can be used to maintain it going forward.
Last updated: Apr 12 2022 at 19:14 UTC
