Clinical Engagement

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Welcome to the Nutrition Care Process Terminology Clinical Project Group space


This project group has been established to undertake the following:
  • Quality assurance of promoted NCPT related terms from US extension (685 concepts) (completed)
  • Review and confirm remaining NCPT content for addition to the SNOMED CT International release (approx. 1000 concepts) (completed)
  • Prepare and model 100 concepts for initial pilot for addition to the SNOMED CT International Release (in progress)
  • Review the outcomes of the initial pilot to inform next steps (in progress)
  • Model and submit the remaining content for addition to the SNOMED CT International Release (approx. 1000 concepts remaining of 2000) (in progress)
  • Agree on updating process and maintenance plans, in line with NCPT developments

Project times scales:

  • To be confirmed based on a detailed project plan agreed with SNOMED international
  • SCROLL well below this point to view the 2020-2022 WORK PLAN and overall projected timeline


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CRG DIRECTORY 

CLINICAL ENGAGEMENT FRONT PAGE 


Meeting Schedule

There will be a regular call typically on the 3rd Monday of each month at 19:00 UTC. 

Conference call details are the same each call.

ZOOM LINK! The link to join is always:
 https://snomed.zoom.us/my/nutritioncrg?pwd=THJmd2JabGN1UWlXM1N5VkpqaFUwdz09

 Password: 744624

Next meetings:

April 11, 2023 at 18:00 UTC (13:00 Central Time US)- Please note this is a Tuesday and is one hour earlier at 18:00 UTC

May 15, 2023 at 19:00 UTC

June 19, 2023 at 19:00 UTC

NO July or August meeting

Project scope

2020 NCPT terminology for international usage to be included in SNOMED CT International Release. 


2021-2023 NCPT CPG Work Plan

Describes the aims and objectives of the Nutrition Care Process Terminology Clinical Project Group. Terminology support the use of the Nutrition Care Process and Model.


Overall objectives

The main purpose of the Nutrition Care Process Terminology Clinical Project Group  is to: 

Submit and model 2020 NCPT content for addition to the SNOMED CT International release (approx. 1000 concepts remaining of about 2000)

Prepare and model 89 concepts for that were promoted to the SNOMED CT International Release from the US Extension

Review the outcomes of modeling pilot to provide feedback/learnings and inform next steps

Agree on updating process and maintenance plans, in line with NCPT developments

Development of a reference set for nutrition problems


Meetings

Teleconferences

Teleconferences are held monthly, every third Monday of the month (announcement on Confluence)

Face-to-Face meetings

None planned.



2020 - 2023 Activities and Overall Timeline


Activity

Scope

Deliverables

Timeframe (suggested)

Lead

Status

1

NCPT Modeling Pilot

Modeling and submission of 89 NCPT concepts to SNOMED International

(concepts based on four use cases:

    • Gestational diabetes mellitus
    • Overweight/obesity
    • Gastrointestinal cancer
    • Heart failure

89 concepts modeled and submitted to SNOMED CT

Provision of input on the topic/s within set timeframes as agreed by the NCPT CPG and relevant SNOMED International staff member/s.

NCPT CPG chair together with relevant SNOMED International staff member for item being discussed.

Complete

89 of 89 concepts (100%) reviewed, remodeled, and/or recommendations implemented (Sept 2022)

80 of 89 concepts (90%) reviewed, remodeled, and/or recommendations implemented (Feb 2022)

73 of 89 concepts (82%) reviewed, remodeled, and/or recommendation implemented (March 2021)


2

2020 NCPT modelling and submission to SNOMED CT

The editorial decisions made by the NCPT CPG as identified by minutes of the NCPT CPG.

Items will be raised as relevant over the course of the year. For each item raised the deliverable will be input and/or feedback as required within mutually agreed timeframes.

Provision of input on the topic/s within set timeframes as agreed by the NCPT CPG.



NCPT CPG chair together with relevant SNOMED International staff member for item being discussed.

In progress

Appr. 135 concepts of 2,190 (6%) remain and are being reviewed for submission (April 2023)

Appr. 178 concepts of 2,190 (8%) remain to be submitted/modeled (Feb 2022)

Appr. 220 concepts of 2,190 (10%) remain to be submitted/ modeled (Sept 2022)

Appr. 445 concepts of 2,190 (20%) remain to be submitted/modeled (Dec 2021)

Appr. 890 concepts of 2,190 (41%) (December 2020)

3Reference set developmentCreation of a reference set for nutrition content.Reference set published.

TBD

NCPT CPG Chair with  together with relevant SNOMED International staff members.

Resource evaluation for development and maintenance complete. Training complete. Draft set (nutrition problems) created and quality assurance review complete.

4Overall remaining timeline 

Goal to submit and model approximately 70 terms per edition. Aim for completion July 2023.

Reference set publication; timeline TBD 

NCPT CPG chair together with relevant SNOMED International staff member for item being discussed.

In progress 

Pilot completed: 89 of 89 concepts (100%) reviewed, remodeled, and/or recommendations implemented (Sept 2022)

Concept submissions: Appr. 135 concepts of 2,190 (6%) remain to be submitted and modeled.

Ref set work underway.

Communication

  • The NCPT CPG will engage in two-way communication between the SNOMED International Content Team and NCPT CPG members on areas relevant to SNOMED CT content development.
  • The primary routes for communications will be the NCPT CPG Confluence Space and zoom Meetings.
  • Communications to the NCPT CPG will by default, be publicly accessible on the NCPT CPG Confluence Space.


Criteria for measuring success

The key criteria for success of the NCPT CPG in 2020 will be related to the timely modelling and submission of 2020 NCPT concepts  to support the revision and updating of nutrition content of SNOMED International. The measures of success will relate to the progress of the deliverables as set out in the 2020 activities section above. 


Future project/s identified for Nutrition Clinical Reference Group (CRG)

Review of Deficiency of macronutrients: https://jira.ihtsdotools.org/browse/IHTSDO-1176 

Dietary Product (product):  DRUGS-131 - Getting issue details... STATUS

Review subhierarchy - 384760004 |Feeding and dietary regime (regime/therapy)| hierarchy: NUTRITION-66 - Getting issue details... STATUS   

Remodel observables with products where appropriate: NUTRITION-47 - Getting issue details... STATUS

Review Central obesity (disorder)



Group Membership

For details of group members click here

Project page links

Minutes

Project Group Documentation

Project Group Discussion Forum

Conference call facilities

Zoom details

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10 Comments

  1. Zac Whitewood-Moores

    Apologies for my 'late' attendance today I had taken the time from this page 'starting April 16 - at 2000 UTC' although I have now seen alternative times elsewhere.  

  2. Jane Millar

    Just to confirm that there will be no meeting of this group today, 21 May. The next meeting will be confirmed

  3. Constantina Papoutsakis

    Hello, all. 

    I would like to let you know that the mtg on June 18 will not take place.

    We should regroup next on July 16th, 19:00 UTC by which time we will have received feedback/reaction 

    on the nutrition findings modeling document, and the revised workplan. 

    Stay tuned, and please take some time to look and comment on these documents (you can find a separate discussion thread for each document in discussions). 

  4. Jane Millar

    HI

    Please could you confirm whether there is a call on 17 December because it has been removed from my diary

    Jane

    1. Constantina Papoutsakis

      Yes, we are having our mtg on Dec 17th, thank you!

  5. Robyn Richards

    Can we please get an update on this project and its expected timelines?   (we have implementations in Australia asking for the content)

    Has any of the modelled content been released as of yet?  if so how much/many? and what is remaining?

    thanks

    1. Donna Pertel

      The Nutrition Care Process Clinical Project Group’s (NCPCPG) hard work has progressed forward over the past 18 months on the following fronts:

      • Identification of a gap in nutrient intake observables (eg, estimated intake of protein in 24 hours) in SNOMED CT necessary to support the modeling of nutrition observables and findings.
        • An intake template was created and has undergone revision twice since June 2019 and identification that 2 templates are needed for nutrient intake and nutrient intake via a specified route. Collaborative efforts with the SNOMED CT Observables group has been necessary and is ongoing.
        • A gap in the nutrient substances needed (eg, both forms of Vitamin K, now represented by Vitamin K and vitamin K derivatives whereas before only vitamin K1 existed in SNOMED CT) has been significant. There is another SNOMED CT group working on the substance hierarchy, with whom the NCP CPG has worked, to add substances to support the modeling. This work remains an area that requires additional attention to support the modeling of nutrition observables and findings.
        • With the implementation of both templates, nearly 150 nutrition concepts in SNOMED CT, and 150 yet to be added, will be sufficiently defined.
      • Review of the findings modeling has also resulted in creation of a nutrition findings template.
        • The group has reviewed the modeling of nutrient intake findings and found that the concepts are modeled to dietary intake findings, which is inconsistent with the need to express nutrient intake from foods, nutrition supplements, and enteral and parenteral nutrition.
        • An approach for all of the concepts is being put forth for consideration and, if implemented, will meet the modeling needed for nutrient intake findings and change the concepts from primitive to sufficiently defined.   

       

      For further detail on the progress, please see the Kuala Lumper presentation provided by Constantina Papoutsakis, PhD, RD. All are also welcome to review and/or join the NCP CPG meetings held on the 3rd Monday of each month at 14:00 Central US time.

  6. Zac Whitewood-Moores

    Hi Constantina Papoutsakis  

    Just to let you know, I retire from my full-time position at NHS Digital tomorrow and it looks like in the short term at least my bandwidth will not allow continued membership of this group.  My apologies.  I am not sure whether our AHP lead Katharine Priest has time to contribute actively, but I know you have representation from one of the UK professional bodies specific to the clinical area.  I wish you well in the future and hope this is an au revoir rather than goodbye, as I know these are areas very relevant to nursing too.

  7. Donna Pertel

    Jane Millar, Suzanne Santamaria,

    Slides shared at the NCPT CPG meeting yesterday describing the 31 July 2021 plan and status are now linked. See the 2020-2021 Activity table, #3 status column.

    Be well,

    Donna

    cc: Constantina Papoutsakis, Lee Unangst

  8. Donna Pertel

    Jane Millar 

    Slides shared at the NCPT CPG meeting 15 March describing the 31 July 2021 plan and status are updated and linked. See the 2020-2021 Activity table, #3 status column.

    Be well,

    Donna

    cc: Constantina Papoutsakis, Lee Unangst, Suzanne Santamaria