12:30 - 16:00 UTC on Sunday 7 April 2019


Meeting Details

Face to Face: Adelphi 3, Hilton Waldorf, London

Local Time (BST)13:30 - 17:00 (break 15:00 - 15:30)


Phone: See for available phone numbers (meeting id 242-348-6949) # snomed-hl7-fhir (ask for invite!)

Discussion items



OwnerNotes & Actions


Review of Agenda


Recording + Notes.

NB Anzac updates in the first half of the meeting please!

2Summary of work of both streams10

FHIR Terminology Services and Resources

Bindings to FHIR Clinical Resources


Presentation of plan for upcoming year


Chairs, Stream Leads and Sponsors.

  • Jane Millar Update on agreement with HL7 (2 year scope)
  • Plan for Montreal Connectathon (4-5 May 2019) re Languages Reuben Daniels
  • SNOMED International sponsorship of FHIR Dev Days at Redmond
4Feedback on currently circulating documentation20
5Optional updates


@All Please let me know if you would like to give an update here.

What would you like to see from the SNOMED on FHIR project? What could you contribute to this group?

EntityRepresentativeFurther Reading

Patients First

Peter Jordan
IMOAndrew Kanter
SaludaxReuben Daniels
NHS UKAndrew Perry

FHIR APIs and XML Messaging

StructureDefinition Resources

Pathology (draft)

Value sets

FinlandRob Hausam

Michael Lawley

Kate Ebrill

PHASTFrançois Macary
SwedenDaniel Karlsson

National Medication List

6Implementation Guide20

What are the high value items for Implementation Guide for using SNOMED CT with FHIR that members would like us to cover? What are the areas that implementers generally have difficulty with.

  • Validate code (Valuset and CodeSystem)
  • Expand (Valueset)
  • Lookup (CodeSystem)
  • Search
  • Terminology Capabilities Resource.
  • Best practices for handling historical content
    • are there gaps in the R4 FHIR API for handling historical content?

730 Minute Break - 15:00-15:30
8FHIR Free Set30

Free SNOMED CT set for FHIR

  • Responsibility for maintenance and publishing
9Terminology Services30

Question from TB Stream (JR): choices in binding - enumerated set vs ECL / Compose Syntax (R4), recommendation ? Where is industry with this.

Advertise impending Google Poll of who's implemented which Resources, testing capabilities.

10Terminology Binding30

Meeting Files