2017-11-07 - SNOMED on FHIR Meeting
Date
20:00 UTC on Tuesday 7th November 2017
Objectives
To identify overlapping areas of national interest
To consider options for handling semantic overlap
To agree on next steps
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: https://chat.snomedtools.org/channel/snomed-fhir
(instructions and guide here - Getting Started with Rocket Chat)
Attendees
@Former user (Deleted), @Jane Millar, @Rob Hausam
Apologies
Discussion items
Item | Description | Owner | Notes |
|---|---|---|---|
1 | Welcome and introductions | @Former user (Deleted), @Rob Hausam |
|
2 | Background of collaboration and recap of meeting in Bratislava | @Former user (Deleted), @Jane Millar and @Rob Hausam |
|
3 | Review Member Sharing Page and consider national priorities | SNOMED Members |
|
4 | Identify overlap in national interests | SNOMED Members |
|
5 | Consider options for handling semantic overlap | All |
|
6 | Next steps | @Former user (Deleted), @Rob Hausam |
|
Meeting Files
Previous Meetings
Comments
Actually I'll add a task, which I have to give @Reuben Daniels credit for. As boring as it sounds I think a Terms of Reference or something like it would be useful. That could be as simple as a wiki page that outlines key parts.
In my mind it should say things like
links and relationship to other groups - HL7 Vocal, HTA, Member Forum, Advisory Groups...
that the group was created by the Member Forum from recognised need, but is by no means limited to or controlled by the Member Forum
the Members (particularly) and SNOMED International have a responsibility to contribute and facilitate the group, but should not attempt to strongly control or direct it - the aim is to facilitate collaboration of interested community members not control it
Members and SNOMED International have a responsibility to provide guidance/information on the priorities of their organisations which may influence the order and direction of the groups work
the group has no formal standing to endorse or ratify anything on behalf of SNOMED International or any of the Members, it can however make recommendations to SNOMED International (or even other bodies?) to endorse, ratify or take formal positions (for example the Using SNOMED CT with FHIR page)
There's probably other things, but those are the things that come to mind at the moment. That is just my view on what the group is and what it should be, but please feel free to disagree!
[On behalf of Linda Parisien - Canada]
Hi,
In Canada we have an InfoCentral page that gathers FHIR information which is freely accessible through an account. On that page you can find the link to the FHIR Community that is quite active.
We also have a tool called the terminology gateway that is a web based solution framework enabling the distribution and sharing of terminology concepts, subsets and concept maps, making them available for web browsing, download or real time query.
Two weeks ago Canada Health Infoway has launched the Canadian FHIR Registry. The registry, is sponsored by Infoway, and is powered by the Simplifier.net platform, a web solution built by Furore.
Here's a suggested starting point.
We could define a series of
work items (where we know we need to do something) and
discussions (where we just need to talk, or talk more before we determine if we need to do something).
I'd suggest that these discussions and work items can all happen in parallel and people can sink effort where they have knowledge or interest and time. Different people will be involved in one or more different items/discussions at any given time. I don't think we can use the whole group serially on items/discussions because the areas covered by the union of the various items/discussions is too broad.
We can meet as a whole group to regularly review these work items, create new ones, close existing ones and review progress. The individual items can hopefully be done mostly via the collaborative technologies (wiki and chat), but there's no reason why meetings couldn't be organised for specific topics if the people working on them feel it would help.
The wiki can become a record of how we arrived at the positions we arrived at, and there'll be other places where anything formal we arrive at gets published. Those publications may be part of the FHIR specification changes (e.g. Using SNOMED CT with FHIR) or SNOMED International documentation.
Work items
Review and maintenance of Using SNOMED CT with FHIR page
Changes to SNOMED CT to improve usage through Terminology Services (e.g. implicit ConceptMap metadata)
CodeSystem and ValueSet resource naming and versioning
ConceptMaps for FHIR code systems to SNOMED CT where applicable
Principles and guidance for profiling/binding with SNOMED CT
Reviewing existing base resource bindings
Sharing/collaboration on profiles, ValueSet definitions and bindings - prioritised on Member activity and high maturity resources. This is probably the biggest task and the hardest to manage. It will likely focus on different resources at any given moment.
Create base resource profiles binding SNOMED CT wherever possible, but isn't done in the base resources
Discussions
Setting up and operating centralised (e.g. national, organisational) FHIR terminology repositories
Medication resources for representing drug terminologies
Content syndication
Intensional reference set with simple ValueSet versus intensional ValueSet definition
Maybe we should start adding discussion items and add some work items as tasks that we agree on and have people interested in working on? Then coordinate all this work via this wiki space?