Terminology Services

The recommended approach for implementing SNOMED CT in clinical systems is using standard Terminology Services. HL7 FHIR provides the CodeSystem, Valuesets, and ConceptMaps resources and their corresponding operations to support access to terminologies using a standardized approach.

These are some examples of how FHIR Terminology services can be used to resolve the terminology bindings described in this guide. using a demo FHIR terminology server:

FHIR element
FHIR Terminology Services Expand Operation

AllergyIntolerance.code

If recording is based on substances and products and specifies the type of reaction in "type":

<<105590001

AllergyIntolerance.code

If recording is based on finding concepts precoordinating the type of reaction :

<<418038007

AllergyIntolerance.code

When using precoordinated Situation concepts to represent the absence of an allergic propensity

<<716186003

AllergyIntolerance. reaction.substance

<<105590001

AllergyIntolerance. reaction.manifestation

<<404684003

AllergyIntolerance. reaction.exposureRoute

<<284009009

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