Radiology Project Group Meeting Agenda 24 April 2026

SNOMED Groups Radiology Content Working Group
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The date and time for this first meeting was the best respond from the Doodle sent out a few weeks ago to the participants in the Member Forum .

The agenda for the meeting is

  1. Introductions

  2. Participant Presentations

    1. Representation and involvement

  3. Member Country Reflection and Needs

    1. Radiology priorities and expectations

  4. Project Group Governance

    1. Discussion and nomination of co -chairs

  5. Working Methods and Meeting Structure

    1. Discussion and suggestions, Example, every 3rd week, working group (?), every 6th week, radiology Senior Medical Exp erts (?)

    2. How to request to join the group

  6. Review preliminary timeline, suggestion expanded from Project Charter

    1. Initial start-up meetings (April -May 2026?)

    2. Collection of existing national extension content and gap analyses (May-Sept ember 2026?)

                                           i.     Discuss with radiology experts.

    1. Harmonization of common needs and content (October-De cember 2026?)

                                           i.     Discuss with radiology experts.

                                    ii.     Modelling review for promo

    1. Promoting existing common needs national extension content to international extension

    2. Creation of new content (January-March 2027?)

i. Modelling, editorial guidelines and templ ates discussions

                                          ii.     Discuss with radiology experts.

    1. Completion of all promotions and new content (April-December 2027?)

    2. Confirmation within member countries (January-March 2028?)

    3. Report back to the group for consolidation of the reports from the confirmation work (April-June 2028?)

    4. Final release preparations (June-October 2028?)

  2. Any other Business

The purpose of this international working group is to a) look at the needs for adding new content, b) to have an agreed consensus regarding content from the group, to create and to promote to the International Edition for the radiology domain.

Please note that this first meeting, there will not be any recording, but notes will be taken. But in the future meetings a recording of the meetings will be available.

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Radiology Project Group – Start-up Meeting Notes

Date: 12 April 2026

Participants:
Monica Harry (Canada)
Maria Braithwaite, Victor Medina (SNOMED International)
Perry Andrew(UK NRC), Anna Harasim (NHS England)
Mathieu Di Franco (Austria)
Rutt Lindström (NRC Estonia)
Marie Alexandra Lambot (Belgium), Pedro Diaz Lammertyn (Belgium NRC)
Lynn Nai Chung Tong (Netherlands NRC)
Nicholas McGraw (USA NRC), Afton Dunsmoor (Dentistry CRG, USA)
Cheung Clement, Nicholas Ferris (Australia)
Peter Mah (DICOM Working Group)

Elenchezhian K R.(India)

Rikard Lövström, Mahreen Marghoob, Emma Hultén (Sweden), Keng Ling Wallin, Erica Culp, Maryam Razavi, Terese Boderus (NRC Sweden)

Introduction

  • Monica Harry introduced the purpose of the group.

  • Ongoing work on laterality in radiology concepts within SNOMED International was presented (CMAG Lateralized Imaging Subproject). This subproject focuses on the analysis of lateralized imaging extension content to support the efficient promotion of internationally relevant concepts .

  • It was highlighted that member countries need broader radiology content beyond laterality.

  • No conflicts of interest were declared.

  • Rikard Lövström presented the agenda.

  • A round of introductions followed.

Expectations from the Group

General Themes

  • Strong interest in interoperability and standardisation using SNOMED CT

  • Need to expand radiology content beyond current scope

  • Challenges with:

    • Contrast specification

    • Body site granularity

    • Procedure combinations

    • Mapping local codes to SNOMED CT

Country Perspectives

Australia:

Interoperability work at the Royal Australian and New Zealand College of Radiologists (RANZCR) started ~5 years ago.
• Developed radiology request term sets, mapped to SNOMED-CT (AU). Many gaps and incomplete matches found.
• Interested in mapping imaging order terms for electronic requesting (FHIR-based profile for eRequesting just launched).
• Focus initially on diagnostic imaging (interventional more complex).Will also need standard terms for Clinical Decision Support, and retrieval of previous imaging examinations (especially those from other sites)
• Strong engagement in SNOMED CT mapping and modelling - RANZCR in collaboration with the National Clinical Terminology Service (NCTS)

Estonia:

  • Currently not using SNOMED CT directly.

  • Uses local codes mapped to SNOMED CT.

  • Preference for pre-coordinated concepts.

  • Uses SNOMED relationships within local coding structures.

  • Interested in promoting local SNOMED CT codes to international level.

Belgium

  • Implementing radiology orders using SNOMED CT.

  • Developing decision support systems (financial + clinical perspectives).

  • Key challenges:

    • Contrast specification (e.g., IV vs other routes)

    • Incorrect mappings of body site or isotopes

    • Situations where body site/isotope should not be specified

  • Need for clearer modelling guidance.

Netherlands

  • Has radiology codes in Dutch Snomed extensions.

  • Interested in promoting content to SNOMED International.

  • Curious about modelling and governance processes.

Austria

  • Not directly connected to NRC structures.

  • Refers to ELGA (national system), where radiology is a module.

India

  • Primarily interested in learning about SNOMED CT.

United Kingdom

  • Actively develops radiology SNOMED CT content.

  • Releases updates twice yearly alongside local codes.

  • Contributed ~2000 laterality-related concepts.

  • Goal:

    • Full use of SNOMED CT in imaging departments

    • Requires 1:1 mapping to local codes

    • Strong interest in promoting local SNOMED CT content to international edition

Sweden

  • ~2.5 years of work on ra diology coding using SNOMED CT.

  • Goal:

    • Promote content to SNOMED International

    • Support interoperability and E HDS (European Health Data Space)

    • Enable cross-border data sharing

  • Started with radiology modalities, interested in expanding further.

USA / Dentistry (Peter Mah)

  • Dentistry imaging differs:

    • Encounter-based, not order-based

  • Imaging is requested during patient encounter rather than pre-order

  • Work includes orthodontic imaging concepts

!!!Participants encouraged to be precise in terminology and scope definition

Decisions & Actions

Chairing

  • Rikard Lövström selected as Chair for upcoming meetings.

  • Co-chair:

    • Not yet decided

    • A Doodle poll will be created

    • Suggestions to be sent to Keng Ling Wallin

Meetings

  • A Doodle poll will be created for scheduling future meetings

  • Proposed meeting time:

    • 11:00 UTC (generally suitable globally)

Next Steps

  • Continue defining:

    • Scope of imaging (radiology vs broader imaging domain)

    • Modelling principles for radiology orders

  • Explore:

    • Promotion of local SNOMED content to SNOMED International

    • Harmonisation across countries

  • Establish governance and collaboration approach for the group .

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Feel free to add if i missed to take notes of something important for the group