For a project about SNOMED CT coding of nursing diagnoses I’m creating a template with a set of diagnoses names with corresponding SNOMED codes. For each diagnosis name the user records, a corresponding SNOMED code should be persisted. I’m aware of different ways of achieving this result. So I’m l…

[image] joostholslag: However the Class description states this as misuse, right? Misuse: If the intention is to represent a term code attached in some way to a fragment of plain text, DV_CODED_TEXT should not be used; instead use a DV_TEXT and a TERM_MAPPING to a CODE_PHRASE. Maybe I’m mi…

@joostholslag This is a common problem. We had an example recently where we wanted tt use SNOMED terms for ‘Preferred place of death’ e.g ‘Preferred place of death: home’, but the client wanted simpler text in the selection response i.e. ‘Home’. I still see this as a defining_code in that the us…

#snomed > Display texts in SNOMED valuesets @ :speech_balloon: ValueSet.compose.include.concept.display can be something the value set author creates specifically in the context of that value set as noted in the comment on this element “The value set resource allows for an alternative display to b…

[image] siljelb: If the intention is to represent a term code attached in some way to a fragment of free text But if you have a predetermined set of diagnosis names each with a corresponding SNOMED CT code, I think this should be fine? [image] joostholslag: In addition: this does not all…

I struggle to understand this. I’m looking for a way to define a grouping of snomed terms that is not local to the archetype/template but does constrain the allowed codes in a DV_CODED_TEXT. So a valueset that can be maintained on a terminology server as ‘defining_code’ in a template. I know archety…

See - Archetype Query Language (AQL) and Jira The discussion does get a bit confusing but it does appear that both Better and Vitagroup support this format in .opt (as generated by AD), which is based on the AQL definition above. terminology://fhir.hl7.org/ValueSet/$expand?url=http://hl7.org/fhir…

[image] ian.mcnicoll: reference_uri Thanks. That’s really helpful. Now how to document this in a more understandable way? And what is reference_uri

[image] ian.mcnicoll: discussion does get a bit confusing but it does appear that both Better and Vitagroup support this format in .opt Agree that we should document this more clearly but CKM also supports the same syntax and resolves the value set when connected to a TS

Today I was looking at some ‘random’ concept map @dkapitan . DiagnoseThesaurus naar SNOMED - JSON Representation - PLUGIN v0.0.2-ci I realised openEHR term_binding (and potentially) term_mapping seem (at first look) equivelant to FHIR concept map. Would we (technically) be able to use FHIR concept…

I did raise that idea briefly on a SEC call ansd I think it is defintely worth considering but it does not really apply (directly) to openEHR term_mapping as I understand. openEHR binding and FHIR ConceptMaps have an equivalent purpose, in defining the rules by which one term can be asserted as bei…

SNOMED coding of values in compositions

Clinical

joostholslag (Joost Holslag) 12 December 2025 09:02 12

For reference:

Some screenshots on how (I assume) to bind snomed codes to values (choices) in a DV_CODED_TEXT in a template.

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SNOMED coding of values in compositions

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