2024-10-23 - CMAG Meeting

• Apologies
• Declarations of Interest - nil declared
• Action items
• Reminder Joint AG starting 13:30 KST (04:30 UTC), see agenda half way down on: 2024-10-22 / 23 Full MAG Seoul Hybrid Meeting

• Information in slide deck 

CMAG - profile and activity

• A presentation was given to the MF in August 2024, MSUG - October 2024 with the aim to raise the profile of the CMAG and the purpose of the group. We've had two countries put forward representatives following the presentation. 
• Looking to increase our meeting frequency - support goal of increased group effectiveness and output
  • Two face to face (April, October), Four virtual (Early February, June, Late August, Early December) 

Terms of Reference 

• Terms of Reference have been updated - changes explained as noted on slide in slide deck. A draft has been attached. 
• Group comments sought. Nil at the meeting. 
• Group asked to provide feedback by 20th November.

Introducing the Modelling Forum

• National Content Modelling Discussion Forum

  • Set up of a national forum where national authors can raise modelling queries.  Would be for the NRC's by the NRC's. SNOMED International may comment, support. Freshdesk query responses only seen by the requestor and there could be others with questions. An avenue to share knowledge. Could be a standing item on CMAG agenda.

  • Feedback during meeting
    • Supported by attendees
    • (GE) Discussions can take time, so an agenda item may not provide enough time. A separate meeting may be a better option.
    • (TA) Good idea being able to share. Supports comments by (GE)
    • (EG) Supports as well. Query on international content, could that be brought that way. Time taken to report issues is time consuming. 
    • (MB) CRS required for issues on international content. Provides us with an audit trail. Supported by (CR)
    • (LM) Question clarifying structure of forum. Agreed on idea. 
    • (CR) Will have a site somewhere. Could be a Freshdesk Forum or a site on Confluence. Options to be explored. Needs to be something where models could be posted. Also need to consider how best viewed publicly. Will come back to group on options. Can be brought to meetings as required.

Reactivation in an extension - international concept

• Update from CMAG members on upcoming national content activities and advice on past work which may be of interest to others
• National Content Development Activities
• Netherlands
  • Sectors to implement SNOMED - nursing, primary care, Allied health (paramedics, physiotherapists, dieticians), prevention for youth care - (social care, vaccinations, environmental, child development) mental health and hospitals. 
  • Expecting request for content in these areas. For hospitals there is already a lot of diagnosis and procedure concepts and are planning to promote that relevant to other countries.
  • Working on allergies, substances, patient friendly terms, synoptic reporting, lab codes, European patient summary.
  • ICF is important for the paramedics. 
• UK (GE) 
  • Request received from Genomics, England to add genes to SNOMED - over 4000. Work being scoped but not clear if they should be added at this point. 
  • Imaging procedures. UK has a separate terminology for imaging called NICIP - they are currently mapped to SNOMED but not all 1 to 1. A lot of content is lateralised in NICIP but not in SNOMED. A content work proposal for (about 600 lateralised) concepts is being/has been submitted to SNOMED International. 
  • Pathology - improving modelling of observables modelling. Discussions with others to ensure work isn't being duplicated.
• Norway (TA)
  • Heavy reliance on mapping SNOMED, ICD and ICPC2. Creating a handbook on how to start big projects in mapping.
  • Significant work occurring in nursing content development. Have promoted some concepts to International Edition. 
    • CR commented- some international content from Norway's version of the ICNP refset has been reviewed by ICN and added to the International ICNP refset. 
  • Translation of nutrition refset. See overlap between this and nursing.  
  • Request for fetal diagnostics - lack about 380 concepts.  Exist as congenital content but not fetal. 
  • Request from a local region to look at the definition of pain. Looking to see if others have received a request in this area.
    • CR advised Nursing CRG had had discussions in this area. 
  • Mental health
  • Work on drug content.
• US (JS)
  • Gravity project (SDOH) - utilities work. Discussions on difference between insecurity and poverty. Poverty more acceptable internationally. 
  • SOGI content. Request to come for about 12 concepts for promotion from Canada. Also some clean up requests in this area in the international. 
    • NZ would be interested in connecting in relation to this work. 
  • Laboratory specimen condition and rejection reasons.
• NZ (LM)
  • Health service type  reference set - adding patient friendly and Te Reo Māori terms.
  • Working with Cancer control agency - new concepts for histology, topography, grading and staging. 
• Other countries - please see Denmarks new pregnancy work file.
• (EW) For those working in Mental Health, the MABH CRG would be interested in what you are working on. 

• CMAG 2025 Work Plan_Draft
• Anything else the CMAG reps think the group should be working on? 
• No comments on the plan or new items in the meeting.

• (JS) - presentation on how to submit a content proposal for larger work items and the internal processes to have these evaluated. 
• Finding/disorder boundary had been raised outside of the meeting by Belgium.
• Both items will be added to the December agenda. 

• Early December 2024 - date and time to be advised.