From:	Ian Green <igr@snomed.org>
Sent:	Wednesday, May 13, 2020 3:15 PM
To:	Bruce J Goldberg
Cc:	Linda Bird
Subject:	Re: Recording allergies in prescribing system

Hi Bruce,

I would agree with Linda in regard of involving SNOMED International for the creation of refsets and 
modelling - it would need to go through the Content team's prioritisation process to get onto their work 
plan. The difficulty with a situation like this is a bit "chicken and egg". If the CRG completes the 
guidance, and publicises it, the more likely to get Member support, and from that the work related to 
the resets/modelling would get on the Content teams workplace. Without SNOMED International 
(workplan) support, the CRG are unlikely to commit effort to completing the guidance documentation.

My suggestion would be to gather Member support based on the Member countries represented by the 
current Allergy CRG membership. I would not see this as a particularly hard sell to gather Member 
support. In fact a good number of smaller countries begin their SNOMED journey with some sort of 
implementation related to allergies. 

Happy to help to get this on the Member Forum agenda as a starting point, and I for one think it would 
be a valuable addition to the SNOMED inventory.

Kind regards,

Ian
_________________________ 
 
Ian Green 
Customer Relations Lead Europe and Clinical Engagement Business Manager 
SNOMED International 
One Kingdom Street | Paddington Central | London W2 6BD | United Kingdom 
 
m: +44 7557 352763 (UK) 
w: www.snomed.org 
e: igr@snomed.org

SNOMED CT Expo 2020 Lisbon 
www.snomedexpo.org  



 

 

On 13 May 2020, at 19:50, Bruce J Goldberg <Bruce.J.Goldberg@kp.org> wrote:

Hi Linda. I am copying Ian for his thoughts. I will bring back both of your 
comments to the group but based on our last call I am not hopeful that there will 
be enthusiasm for continuing work on this document until a promise of support 
is forthcoming.

Bruce

 
From: Linda Bird <lbi@snomed.org> 
Sent: Monday, April 27, 2020 6:28 PM 
To: Bruce J Goldberg <Bruce.J.Goldberg@kp.org> 
Subject: Re: Recording allergies in prescribing system
 
Hi Bruce,
Thanks for sharing the outcomes of this discussion! If the CRG is able to create 
some implementation guidance for Allergies on its own, then that would be fantastic. 
In terms of involving SNOMED International for the creation of refsets and modelling 
- this would need to go through our Content-team's prioritisation process to get onto 
their workplan. They have a pretty full work programme at the moment, given the 
2020-2025 strategy put in place by the GA and MB, so there would need to be wider 
support through the Member Forum for this work to be considered.
Thanks Bruce!
Kind regards, 
Linda.
 

Linda Bird | Head of Education and Product Support 
SNOMED International 
One Kingdom Street | Paddington Central | London W2 6BD | United Kingdom 
  
m: +61 (0) 411 274 870 (Australia) 
w: www.snomed.org 
e: lbi@snomed.org


On Fri, Apr 24, 2020 at 9:41 AM Bruce J Goldberg <Bruce.J.Goldberg@kp.org> 
wrote:
Hi Linda. The allergy CRG met today. It was determined that the document was 
unfinished and abandoned at the time because no support was forthcoming to 
assist in creation of refsets and modeling new content to support the inclusive 
model. With that said, if the organization is willing to support this effort at this time, 
the CRG felt it would be advantageous to complete the document and make it 
publicly available.
 
Bruce
 
Bruce J. Goldberg, M.D., Ph.D.
Physician director, S.C.P.M.G. Regional Allergy-Immunology Lab
Kaiser Permanente HealthConnect?Convergent Medical Terminology
Phone:
818-392-7292 (lab)
510-368-0270 (cell)
 
 
From: Linda Bird <lbi@snomed.org> 
Date: Wednesday, March 11, 2020 at 9:26 PM 
To: Bruce Goldberg <Bruce.J.Goldberg@kp.org> 
Cc: "Campbell, James R" <campbell@unmc.edu>, Amy Sheide 
<asheide@mmm.com>, Kin Wah Fung <kwfung@nlm.nih.gov>, Robert 
Hausam <rrhausam@gmail.com> 
Subject: Re: Recording allergies in prescribing system
 
Fabulous! Thanks very much Bruce (and other members of the CRG). 
Kind regards, 
Linda. 

Linda Bird | Head of Education and Product Support 
SNOMED International 
One Kingdom Street | Paddington Central | London W2 6BD | United Kingdom 
  
m: +61 (0) 411 274 870 (Australia) 
w: www.snomed.org 
e: lbi@snomed.org
 
 
On Thu, Mar 12, 2020 at 10:23 AM Bruce J Goldberg <Bruce.J.Goldberg@kp.org> 
wrote:
Linda, I would be happy to. I will distribute the document to members of the CRG 
and discuss with possible revisions/additions for an upcoming virtual meeting. I am 
also copying  some of the key players who have contributed to the development of 
this document. ( I don’t have e-mail addresses for Beverly Knight or Andre Perry).
 
Bruce
 
Bruce J. Goldberg, M.D., Ph.D.
Physician director, S.C.P.M.G. Regional Allergy-Immunology Lab
Kaiser Permanente HealthConnect?Convergent Medical Terminology
Phone:
818-503-6592 (lab)
510-368-0270 (cell)
 
From: Linda Bird <lbi@snomed.org>  
Sent: Tuesday, March 10, 2020 10:07 PM 
To: Bruce J Goldberg <Bruce.J.Goldberg@kp.org> 
Cc: Monica Harry <mha@snomed.org>; Nick Egarhos <neg@snomed.org>; Toni 
Morrison <tmo@snomed.org> 
Subject: Re: Recording allergies in prescribing system
 
Thanks Bruce! I remember this now .... it wasn't long after I joined IHTSDO.
Yes - I think it would be useful to review with the allergy CRG to see if this is still 
relevant information. And if it is, then I'd like to explore making this document more 
publicly available (e.g. perhaps a 'Clinical' section in the SNOMED document 
library - http://snomed.org/doc).
Thanks!
Kind regards,
Linda.
 

Linda Bird | Head of Education and Product Support 
SNOMED International 
One Kingdom Street | Paddington Central | London W2 6BD | United Kingdom 
  
m: +61 (0) 411 274 870 (Australia) 
w: www.snomed.org 
e: lbi@snomed.org
 
 
On Wed, Mar 11, 2020 at 11:40 AM Bruce J Goldberg 
<Bruce.J.Goldberg@kp.org> wrote:
Hi Linda. I think this guide dates back to 2016 or 2017. We did not succeed in 
getting much support to move this forward before the implementation SIG was 
disbanded. I have not looked at this for quite some time but would be happy to 
review with the allergy CRG to see if this is still relevant information. My guess is 
that it is. I am going to forward to you an e-mail thread from 2016 which you had 
been copied on at the time that discusses this body of work.
 
Thank you,
Bruce
 
Bruce J. Goldberg, M.D., Ph.D.
Physician director, S.C.P.M.G. Regional Allergy-Immunology Lab
Kaiser Permanente HealthConnect?Convergent Medical Terminology
Phone:
818-392-7292 (lab)
510-368-0270 (cell)
 
 
From: Linda Bird <lbi@snomed.org> 
Date: Tuesday, March 10, 2020 at 5:10 PM 
To: Bruce Goldberg <Bruce.J.Goldberg@kp.org> 
Cc: Monica Harry <mha@snomed.org>, Nick Egarhos 
<neg@snomed.org>, Toni Morrison <tmo@snomed.org> 
Subject: Re: Recording allergies in prescribing system
 
Thanks Bruce! 
That's a guide I wasn't aware of. Is the advice in this guide still current? I'm 
wondering if we should be sharing this in our SNOMED Document Library.
Kind regards, 
Linda.
 
On Wed, 11 Mar 2020 at 4:58 am, Bruce J Goldberg <Bruce.J.Goldberg@kp.org> 
wrote:
Toni, here you go.
 
Bruce
 
Bruce J. Goldberg, M.D., Ph.D.
Physician director, S.C.P.M.G. Regional Allergy-Immunology Lab
Kaiser Permanente HealthConnectConvergent Medical Terminology
Phone:
818-392-7292 (lab)
510-368-0270 (cell)
 
 
From: Toni Morrison <tmo@snomed.org> 
Date: Tuesday, March 10, 2020 at 8:01 AM 
To: Bruce Goldberg <Bruce.J.Goldberg@kp.org> 
Cc: Linda Bird <lbi@ihtsdo.org>, Nick Egarhos <neg@snomed.org>, 
Monica Harry <mha@snomed.org> 
Subject: Re: Recording allergies in prescribing system
 
Thanks Bruce - that would be great if you could pass along a copy.
 
---
Toni Morrison | Senior Terminologist
 
SNOMED International
One Kingdom Street | Paddington Central | London W2 6BD | United Kingdom
m: +1 303 870 0855 (North America)
skype: toni.morrison1499
w: www.snomed.org
e: tmo@snomed.org
 
 
 
 
On Mar 10, 2020, at 8:58 AM, Bruce J Goldberg 
<Bruce.J.Goldberg@kp.org> wrote:
 
Hi Toni, Are you perhaps referring to the allergies document 
produced by the implementation SIG a few years ago? I have a 
copy and can send it to you.
 
Bruce
 
Bruce J. Goldberg, M.D., Ph.D.
Physician director, S.C.P.M.G. Regional Allergy-
Immunology Lab
Kaiser Permanente HealthConnectConvergent Medical 
Terminology
Phone:
818-392-7292 (lab)
510-368-0270 (cell)
 
 
From: Toni Morrison <tmo@snomed.org> 
Date: Tuesday, March 10, 2020 at 7:43 AM 
To: Linda Bird <lbi@ihtsdo.org>, Bruce Goldberg 
<Bruce.J.Goldberg@kp.org> 
Cc: Nick Egarhos <neg@snomed.org>, Monica Harry 
<mha@snomed.org> 
Subject: Recording allergies in prescribing system
 
Caution: This email came from outside Kaiser Permanente. 
Do not open attachments or click on links if you do not 
recognize the sender.
 
Hi Linda and Bruce, 
 
We had a call with vendor earlier today; one of their topics related 
to the recording of patient allergies in a prescribing system.
 
I’m recall that I’ve seen some SNOMED documentation around 
this topic in the past; I think it was part of a larger document and 
I’m not sure where to find it. The Allergy CRG has discussed this 
topic as well. Can either of you point out specific documentation 
or meeting notes that would be helpful to share with the vendor? 
 
Thanks,
Toni
 
---
Toni Morrison | Senior Terminologist
 
SNOMED International
One Kingdom Street | Paddington Central | London W2 6BD | 
United Kingdom
m: +1 303 870 0855 (North America)
skype: toni.morrison1499
w: www.snomed.org
e: tmo@snomed.org
 
 
 
 
 
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Registration Number 9915820, reg. address One Kingdom Street, Paddington Central, London W2 6BD, UK.
 

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