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Date 21st August 2024

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Zoom link - https://snomed.zoom.us/my/pathologycrg 


Objectives

Discussion items

ItemDescriptionOwnerNotesAction / discussion points 
1

Welcome and introductions

All
Confluence access via Ian G
2

Round the table member country / organisation representatives

All

A few minutes each on everyone’s current PaLM (pathology and laboratory medicine) terminology and / or terminology implementations

Read Codes flowing lab data in UK are less computable and quite inaccurate lab test representations, and so they are being replaced with more accurate SNOMED CT logic and a FHIR pathology implementation guide

LOINC was not computable and so will have corresponding ontological versions in the LOINC Ontology to make SNOMED CT versions available to anyone. Possibility of SNOMED CT international edition promotion for concepts that have global utility

Lots of work done by Nebraska on interoperability and analytics; efforts put into the observables model with Daniel K setting up equivalence mapping and interop experiments. Referenced the previous LOINC-SNOMED CT expression refset

NPU terminology - 30 years of implementation; not much happening from a national perspective. European users using LOINC and small corner of Europe using NPU. Going to explore how to use LOINC and NPU for interoperability and sharing health data. Using SNOMED CT for methods, specimen types, body structure components and result values - HL7 Europe published implementation guide. There will be an agreement with NPU to create a SNOMED CT extension and NPU mappings. SNOMED will be taking the same approach as we did with LOINC in that we are not doing mapping to the NPU terms.  The NPU extension, like the LOINC extension, will be a transformation of the semantics of the NPU parts (which will be mapped to SNOMED equivalents) into a SNOMED concept model.  The goal is complete semantic equivalence between terminologies.

Possibility in this working group to discuss LOINC Ontology 'phase 2' modelling in comparing and reasoning our similarities and differences in logical modelling and selection of observable entity defining attributes in relation to descriptions per concept

Possibility in this working group to work towards agreeing one SNOMED CT international concept instead of duplicating  semantically and logically equivalent content in member / organisation extensions

Investigating the scope for extending the observables concept model to represent more complex logic of patient test results

3

Bullet the main objectives we would like to address from around the table

All
  1. Editorial principles and SNOMED CT component design - comparison and standardisation
  2. Analysis of some component hierarchies - metrological representation
  3. Missing components - substances
  4. Complex representation challenges - e.g. semi-quantitative differentiation from qualitative; ratio of substance in two different specimens


4

Prioritise items to tackle

All

Spanning our common objectives for pathology SNOMED CT content design

Next steps:

  1. Stann Huff to give a session on retrospective thoughts and reflections on LOINC design
  2. Compare some of the basic SNOMED CT designs (terminology and logic) of LOINC Ontology, Nebraska Extension and UK PaLM content
5

Plan next meeting and items to cover

All



6

Current actions

All


Review Terms of Reference; upload any editorial or terminology design principles from SI, member countries / organisations to review and compare

7

AOB

All



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