Summary
A page to collect information on procedures that in are in high usage in member countries to support prioritisation on procedure sub-hierarchies for QI work. For discussion at the April 2025 CMAG Business Meeting.
Relevant documents
Links
CMAG April Agenda and High Use Procedures
Country response
| Country | Date | Response |
|---|---|---|
| Germany |
| We're currently working on translating the entire branch of surgical procedures in preparation for mapping our national procedure classification to SNOMED CT — particularly in light of the EHDS. We're encountering some outdated content, especially involving eponyms that had already been inactivated after we submitted a change request:
As a side note: Interestingly, we’ve come across concepts with one name in English that are used with two names in German — for example, 275238003 |Bassini repair of inguinal hernia (procedure)| is referred to in German as Leistenhernienreparation nach Bassini-Kirschner, because Kirschner modified the original Bassini technique. There are also cases where a technique was developed simultaneously in Europe and the US in the 1920s; in Germany, both names are still in use (I’ll have to look up some examples). We're also encountering naming inconsistencies concerning resection vs. excision, and extirpation vs. removal vs. destruction. I'm happy to share more examples if helpful. I’m aware that this branch, with over 21,000 concepts, is quite large. At the moment, we're not in a position to propose a more strategic approach. Perhaps other members who are already using these concepts or currently working on a mapping project might have input to share. |
| Member countries without a CMAG rep |
1 Comment
Matt Cordell
It doesn't look like I can edit the above table, so commenting here.
For most of us, it's really hard (if not impossible) to get "frequency data" for concepts. NRCs don't typically have access to EMR/EHR.
Looking at what extension content exists is a good proxy. Presumably NRCs are creating content in areas that people are using (hence requesting content).
We publish a refset developed by our Surgical College for use in their "Morbidity and Audit Logbook Tool" (MALT)
The refset is 1061861000168107|Royal Australasian College of Surgeons MALT surgical procedure reference set| - contains about 16000 procedures.
It's updated regularly, (though overdue at the moment and contains about 70 inactive concepts)
We've created 2257 procedure concepts in the AU extension. About half (1225) of these are surgical procedures. Most (726) of the others are Evaluation procedures, primarily Pathology/Laboratory medicine. And we're about to embark on a batch of imaging procedures - though trying to leverage the work already done in other extensions (Canada and UK)
To add to the comment above about Eponymous procedures.. We've encountered a few and I think they're an unfortunate necessity despite what editorial rules might say.