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EDQM updates (Source) - July 2022 to January 2024

Inactivations in EDQM

#CodeTermStatusDEUSG Action / Plan
113136000 Gastro-resistant powder for oral suspensionNot ReferencedNo action required
210609000 Eye drops, prolonged-releaseNot ReferencedNo action required
350056000 Prolonged-release granules for oral suspensionNot ReferencedNo action required
450026000 Gastro-resistant granules for oral suspensionNot ReferencedNo action required
510307000 Oromucosal dropsNot ReferencedNo action required
650036000 Modified-release granules for oral suspensionNot ReferencedNo action required


New codes in EDQM (1st review by the content Team)

#

Code

Term

Status

Content team evaluation

Products that use this form

Expert feedback

Action / Plan

113179000Granules for modified-release oral suspensionNot Referenced

Matt Cordell we have that form in AMT "modified release granules".
It's used for mesalazine and morphine products. (11 Clinical drug concepts). And 1 para-aminosalicylic acid.


213184000Powder for solution for provocation testNot ReferencedNot in scope

Julie M. James has too much specificity about the use, which is out of scope for SNOMED PDF

Rutt Lindström Maybe it is worth mapping to a broader SNOMED dose form?

Stuart Abbott IMprove scope definition to have a clear explanation on how too much detail may put the code out of scope

Evaluate a narrow to broader map
313168000Oromucosal drops, solutionNot ReferencedIn scope
Julie M. James We have 385072008 | Conventional release oromucosal drops (dose form) | but not the more detailed dose forms.  Following the principles and pattern we now have for other types of drops etc. (e.g. 385125006 | Conventional release solution for eye drops (dose form) ), this concept should be added to SNOMED CT if/when required to support description of productsAdd if/when required
413169000Oromucosal drops, suspensionNot Referenced

As above (row 3)Add if/when required
513177000Granules for gastro-resistant oral suspensionNot Referenced

761901008 | Granules for gastro-resistant oral suspension (dose form) |

Make new map

MJO - mapped.

613165000Suspension for gelNot Referenced

Julie M. James Could be added to SCT if required as Suspension for conventional release cutaneous gel. 
BDF = suspension, Int Site = Cutaneous AdmMeth = Apply Rel Char = Conventional Transform = Mix

Add if/when required
713178000Powder for gastro-resistant oral suspensionNot ReferencedIn scope

Julie M. James We (SCT) have a differentiation between powders and granules when the dose form is for oral use (but not for parenteral use), so could add this dose form to make the map if required; it fits the model

Add if/when required
813162000Concentrate for cutaneous emulsionNot Referenced

1237287002 | Concentrate for conventional release cutaneous solution (dose form) |

Make new map

MJO - mapped

913180000Granules for prolonged-release oral suspensionNot ReferencedIn scope
421446006 | Granules for prolonged-release oral suspension (dose form) |

Make new map

MJO - mapped

1013159000Eye drops, prolonged-release solutionNot Referenced

1279737007 | Prolonged-release solution for eye drops (dose form) |

Make new map

MJO - mapped

1113175000Prolonged-release chewable tabletNot ReferencedIn scope
Feedback from EDQM: This is a correct dose form; the tablet is chewed and breaks up into pieces that are swallowed.  These pieces have a formulation that gives the prolonged release characteristics, therefore this is a valid dose form and could be added to S-CT if/when requiredAdd if/when required
1213176000Powder for prolonged-release oral suspensionNot ReferencedIn scope
As above (row 7)Add if/when required
1313167000Oromucosal drops, emulsionNot Referenced

As above (row 3)Add if/when required
1419186000Implantation gelNot Referenced

Julie M. James Complex!  Is final administrable dose form when the two concepts below are mixed.....


1513187000Dispersion for implantation gelNot Referenced



1613188000Solution for implantation gelNot Referenced



1713190000Intracameral implantNot Referenced

Julie M. James We have 762071007 | Intraocular dose form (dose form) | and 3 children, then separately we have 764842006 | Prolonged-release ocular implant (dose form) | which is not mapped to EDQM (I think).  I suggest that we may wish to add these as children of the "intraocular" grouper
Does anybody know of an "ocular implant2 (not insert) that is "ocular" not "intraocular"?
Ocular - the eyeball - on or in; intraocular - "within" the eyeball

NI: Intracameral implant and Intravitreal implant added as directed
1813191000Intravitreal implantNot Referenced

Julie M. James As for intracameral


SNOMED Updates (Target) - July 2022 to January 2024

Inactivations in SNOMED CT (Select map targets if available)

#

ConceptId

Term

Status

Action / Plan

Discussion

1

840651000

 Conventional release chewable capsule (dose form) Not ReferencedNo action

See https://request.ihtsdotools.org/#/requests/preview/766062?fromList=true request from  François Macary 

Hi François,

The existing Pharmaceutical dose form concept and the associated Clinical drug concept modeled using it have been inactivated and replaced because the requested changes for the Basic dose form would alter the meaning of the concepts.

The addition of an additional Administration method will be addressed at a later date; it is a change that needs to be done systematically for all affected concepts and also requires additional testing and perhaps a concept model change.

Kind regards,
Toni

2

421873001

 Conventional release oral cream (dose form) Not ReferencedNo actionLooking in browser the inactivation target is 1217290000 |Conventional release oromucosal cream (dose form)|. Can see this was added based on a request from  François Macary referencing EDQM PDF mapping; e-prescribe; e-dispense: https://request.ihtsdotools.org/#/requests/preview/767928?fromList=true
3

783749008

 Conventional release oral ointment (dose form) Not ReferencedNo ActionInactivation target is 1217289009 |Conventional release oromucosal ointment (dose form)| that was added based on a request from  François Macary referencing EDQM PDF mapping; e-prescribe; e-dispense: https://request.ihtsdotools.org/#/requests/preview/767927?fromList=true
4

1231841006

 Porous impregnated material for conventional release vapor inhalation (dose form) ReferencedUpdate the map to use the new active pulmonary replacement dose form. 

Under discussion at Internal Editors Meeting

5

784575004

 Conventional release oral spray (dose form) Not ReferencedNo action

Unsure why Toni inactivated but new concept requested by François Macary 1229934008 |Conventional release emulsion for oromucosal spray (dose form)|

https://request.ihtsdotools.org/#/requests/preview/769485?fromList=true

6

784576003

 Prolonged-release intrauterine drug delivery system (dose form) Not ReferencedNo action

https://request.ihtsdotools.org/#/requests/preview/769521?fromList=true request from  François Macary 

Hi François,

Due to the types of changes being requested, the existing concept will be inactivated and replaced with a new concept instead of being updated.

Kind regards,
Toni


7

764799005

Conventional release suspension for infusion (dose form)Not ReferencedNo action
8

420430006

Lyophilized powder for prolonged-release suspension for injection (dose form)Not Referenced
No action


9

421943006

Lyophilized powder for conventional release suspension for injection (dose form)Not Referenced
No action


10

765056003

Lyophilized powder for conventional release solution for infusion (dose form)Not Referenced
No action


11

421637006

Lyophilized powder for conventional release solution for injection (dose form)Not Referenced
No action


New concepts in SNOMED CT (Candidates for creating new maps)

#

ConceptId

term

Status

Source

Action / Plan

1

1237270004

 Concentrate for conventional release solution for peritoneal dialysis (dose form)  Not Referenced

Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

https://request.ihtsdotools.org/#/requests/preview/770954?fromList=true

EDQM: 50013250 - Concentrate for solution for peritoneal dialysis

Add to map

MJO - mapped

2

1287605002

 Conventional release solution for intraperitoneal instillation (dose form)  Not Referenced

https://request.ihtsdotools.org/#/requests/preview/776647?fromList=true 

https://www.hpra.ie/img/uploaded/swedocuments/Licence_PA22637-005-001_12062019164057.pdf

EDQM: 12111500 - Intraperitoneal solution

Add to map

MJO - mapped

3

1231815000

 Conventional release oral or pulmonary solution (dose form)  Not Referenced

Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

https://request.ihtsdotools.org/#/requests/preview/764561?fromList=true

Inactivated - no new concept created as non-sensical dose form.


4

1237318003

 Concentrate for conventional release emulsion for cutaneous spray (dose form)  Referenced
No action required
5

1255299001

 Tablet for conventional release oromucosal solution for mouthwash (dose form)  Referenced
No action required
6

1237310005

 Concentrate for conventional release oromucosal solution for gargle (dose form)  Referenced
No action required
7

1255234008

 Conventional release suspension for infusion and/or injection (dose form)  Not Referenced

Probably added by Toni as part of project adding 'infusion and/or injection' groupers.

it is a grouper with two children and no references

Inactivate the concept.

NI: 20231117 Concept has been inactivated per this discussion. Suspensions not recommended for infusion and/or injection

8

1237287002

 Concentrate for conventional release cutaneous solution (dose form)  Referenced
No action required
9

1237289004

 Concentrate for conventional release oromucosal solution (dose form)  Referenced
No action required
10

1231816004

 Conventional release intravesical or parenteral or urethral solution (dose form)  Not Referenced

Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):


Inactivate, replace, and add to map.

NI:20231117 Concept has been inactivated 1231816004 |Conventional release intravesical or parenteral or urethral solution (dose form)| and new concept created | 1297071006 |Conventional release intravesical solution and solution for injection (dose form)|

11

1237073006

 Prolonged-release intrauterine delivery system (dose form)  Referenced
No action required
12

1237274008

 Concentrate for conventional release dispersion for infusion and/or injection (dose form)  Not Referenced

Probably added by Toni as part of project adding 'infusion and/or injection' groupers.

Not in EDQM today.

No action required
13

1237285005

 Concentrate for conventional release emulsion for infusion and/or injection (dose form)  Not Referenced

Probably added by Toni as part of project adding 'infusion and/or injection' groupers.

Not in EDQM today.

No action required
14

1237267003

 Concentrate for conventional release solution for infusion (dose form)  Referenced
No action required
15

1237263004

 Concentrate for conventional release suspension for injection (dose form)  Referenced
No action required
16

1237288007

 Concentrate for conventional release intravesical solution (dose form)  Referenced
No action required
17

1237264005

 Concentrate for conventional release oral suspension (dose form)  Referenced
No action required
18

1269279001

 Porous impregnated material for conventional release oromucosal vapor inhalation (dose form)  Not ReferencedSee above SNOMED updates

Inactivate.

NI:20231117 Concept has been inactivated

19

1237284009

 Concentrate for conventional release emulsion for infusion (dose form)  Referenced
No action required
20

1237266007

 Concentrate for conventional release rectal solution (dose form)  Not Referenced

Request from François Macary referencing EDQM:

https://request.ihtsdotools.org/#/requests/preview/770948?fromList=true

EDQM: 11008000 - Concentrate for rectal solution

Add to map

MJO - mapped

21

1237271000

 Concentrate for conventional release dispersion for injection (dose form)  Referenced
No action required
22

1237293005

 Concentrate for conventional release solution for nebulizer (dose form)  Referenced
No action required
23

1237265006

 Concentrate for conventional release oral solution (dose form)  Referenced
No action required
24

1255346009

 Conventional release intestinal gel (dose form)  Referenced
No action required
25

1237273002

 Concentrate for conventional release dispersion for infusion (dose form)  Referenced
No action required
26

1237286006

 Concentrate for conventional release emulsion for injection (dose form)  Referenced
No action required
27

1237291007

 Concentrate for conventional release solution for intraocular irrigation (dose form)  Referenced
No action required
28

1269278009

 Porous impregnated material for conventional release pulmonary vapor inhalation (dose form)  Not Referenced

See above SNOMED updates

This one stays

This is the new target of the map.
29

1237269000

 Concentrate for conventional release solution for infusion and/or injection (dose form)  Not Referenced

Probably added by Toni as part of project adding 'infusion and/or injection' groupers.

EDQM: 50079000 - Concentrate for solution for injection/infusion

Add to map

MJO - mapped

30

1255237001

 Lyophilized powder for conventional release solution for infusion and/or injection (dose form)  Not Referenced

Original lyophilized dose form request: https://request.ihtsdotools.org/#/requests/preview/725602?fromList=true probably added by Toni as part of project adding  infusion and/or injection groupers.

It does not fit our current editorial policy

Inactivate

NI:20231117 Concept has been inactivated

31

1237290008

 Concentrate for conventional release oral or rectal solution (dose form)  Referenced
No action required
32

1237275009

 Concentrate for conventional release solution for hemodialysis (dose form)  Referenced
No action required
33

1237268008

 Concentrate for conventional release solution for injection (dose form)  Referenced
No action required
34

1255338008

 Conventional release chewable soft capsule (dose form)  Referenced
No action required
35

1279737007

 Prolonged-release solution for eye drops (dose form)  Not Referenced

Request from Alejandro referencing EDQM map:

https://request.ihtsdotools.org/#/requests/preview/776391?fromList=true

EDQM: 13159000 - Eye drops, prolonged-release solution

Add to map

MJO - mapped

36

1255347000

 Intestinal dose form (dose form)  Not Referenced

Added in 2022 has one descendant 1255346009 |Conventional release intestinal gel (dose form)| that is a request from Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping and 2022-06-20 EDQM to SNOMED Dose Form Map call) https://request.ihtsdotools.org/#/requests/preview/770417?fromList=true

It's a grouper, no PDF

No action required
37

1231817008

 Powder for conventional release intravesical or parenteral or urethral solution (dose form)  Not Referenced

Request from François Macary referencing EDQM PDF: https://request.ihtsdotools.org/#/requests/preview/764559?fromList=true

Proposed FSN: "Conventional release intravesical solution or solution for injection"

Inactivate, replace, and add to map

NI:20231117 Concept has been inactivated with replacement created 1297017001 |Powder for conventional release intravesical solution and solution for injection (dose form)|

38

1290360004

Conventional release chewable tablet and/or tablet for oral suspension (dose form) Not Referenced

50001000 Chewable/dispersible tablet
Note that in EDQM Tablet for oral suspension is deprecated and replaced by "Dispersible tablet" whereas in SNOMED CT 421366001 | Tablet for conventional release oral suspension (dose form) | with a PT of "Dispersible oral tablet"


39

1007391000202107

Conventional release oral gum (dose form) Not Referenced

10230000 Oral gum


40

1297071006

Conventional release intravesical solution and solution for injection (dose form) Not Referenced

50033400 Intravesical solution/solution for injection


41

1297017001

Powder for conventional release intravesical solution and solution for injection (dose form) Not Referenced

50050500 Powder for intravesical solution/solution for injection


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