Free SNOMED CT set for FHIR

These values are inherited from V3. "High" does exist but in a different hierarchy - 75540009 |High (qualifier value)|

Severe does have a synonym of "High Grade"

Should we flag up this apparent inconsistency?

JR suggests new sub-hierarchy for SCT containing disease activity to align with 370996005 |Patient condition resolved (finding)|

LB suggested use of << 394731006 |Problem statuses (qualifier value)| would need to add "Resolved". YG Notes that these are not in use and their use is not dictated by the MRCM.

DK suggested use of << 36692007 |Known (qualifier value)| again "Resolved" would be required.

418471000|Propensity to adverse reactions to food (disorder)|

or 414285001|Food allergy (disorder)|

419511003|Propensity to adverse reactions to drug (disorder)|

or 416098002|Drug allergy (disorder)|

But very questionable whether (a) passing either of this pair 'adjectival modifier' codes is any more useful than passing the words 'low' and 'high;

and (b) the wisdom and clinical safety of passing a coded clinical statement stating 'high risk' that does not also explicitly include 'of what?'.

Would it be better/safer to pass as new clinical finding codes along the lines of 'high risk of adverse reaction' ?

Actually, the exact meaning of the original valueset is in fact not to grade the likelihood of an adverse event but rather of whether, should an adverse event occur,it is likely to be clinically significant one. A high probability of only trivial reactions would be graded 'low risk'. So passing only 'low risk' may be especially clinically rather ambiguous.

410590009|Known possible (qualifier value)|

OR 415684004|Suspected (qualifier value)|

55561003|Active (qualifier value)| would be undesirable to use. Its just a code for the word as an adjective : having a SNOMED code would add zero value over the original string, and only marginally more than the more obviously ludicrous but entirely possible SNOMED CT encoding as the expression:

422097006|Upper case Roman letter A (qualifier value)|
+ 257984003|Lower case Roman letter c (qualifier value)|
+ 257998006|Lower case Roman letter t (qualifier value)|
+ 257989008|Lower case Roman letter i (qualifier value)|
+ 258000009|Lower case Roman letter v (qualifier value)|
+ 257985002|Lower case Roman letter e (qualifier value)|