1

Welcome and role call

@Bruce Goldberg

2

Free SNOMED CT set for FHIR

@Bruce Goldberg

The SNOMED on FHIR group are currently working on a mapping for a proposed "free set" for allergy/intolerance that is being discussed between SNOMED International and HL7.

SNOMED on FHIR.docx

https://urldefense.proofpoint.com/v2/url?u=https-3A__confluence.ihtsdotools.org_display_FHIR_Free-2BSNOMED-2BCT-2Bset-2Bfor-2BFHIR&d=DwMFaQ&c=ZMR5nv7DeMA_5yIzV7zEdkSfOjTGya0xwGqp1JcaTq0&r=AT6pbftlFXFyGuS7neB8LF_AZA6SfAzY3T8fXzdhoyc&m=HoEiwsITwIdFiI_NVYDEz9BmCEd_4ux2PYtXzenIdZo&s=xJp_-WQ-gv9lnxxJcWexrpGRf9wXJHBzshxGOmmHqHk&e=

Discussions centered around proposed use of AllergyIntolerance.Category.

There was some disagreement among the group of the value of these broad groupers

Difficulty in defining what is a "food". Should perghpas be food product?

@Rob Hausam was able to add some clarity regarding the controversy surrounding this valueset

Advised members of this group to try to attend the SNOMED on FHIR meeting in London in person or remotely

Working Group 
Open to all
SNOMED on FHIR Working Session 
Chairs: Peter G. Williams & Robert Hausam
Room: Adelphi 3

3

Comparison of HL-7 common drug and food allergens and allergen/allergy value set compiled for Belgium

@Marie-Alexandra Lambot

@Marie-Alexandra Lambot to present her work on reconciling allergy value set developed for Belgium and HL-7 common drug and food allergens

care set_hypersensitivity_201902011.pptx

@Marie-Alexandra Lambot to reach out to SNOMED on FHIR group for additional documentation

2

Allergy/hypersensitivity/intolerance reaction refset

@Jim Campbell

Suggestion made to create two refsets - one with allergy reaction codes from SNOMED CT clinical findings frequency of occurrence in EHRs and the second a list of SNOMED CT substances and Medicinal Products with flags to identify those of use in a) the user interface for reaction coding and b) the research data set with mapping to the member drug terminologies - RxNorm for the US etc

@Jim Campbell not on call. There seems to be some interest in creating at least an allergy/intolerance clinical findings refset.

Will discuss an "allergen" + linked clinical findings subset at face to face meeting in London

2

Allergy to substance remediation project

@Bruce Goldberg, ALL

• Time permitting, we can work through some of these

https://docs.google.com/spreadsheets/d/1cT2eLlIJJxoEkGw5bCsQkEQBi6BfwBZFnQWPibbw7CQ/edit?usp=sharing

• Drug-Book-web.pdf

• Drug+Allergy.pdf

1. If substance represents a grouper with doubtful clinical significance in terms of allergy that may have been missed during initial review, it will be marked in comments section for additional review

2. If no information can be found by a particular reviewer for a substance in terms of mechanism it will also be marked in comments section for additional review by group

4

Allergy to alpha gal

@Bruce Goldberg

• Background and proposed modeling

• Alpha-gal allergy.pptx

  • Tabled for a future meeting

5

Topics for face to face meeting, London 2019

All

• Need agenda items

• Please send in potential items for discussion in London

6

Adjourn

@Bruce Goldberg, All

• AOB

• No meeting in March

• Next meeting will take place in London during the spring SNOMED business meeting