Summary
Please see the attached briefing note.
Actions:
Date | Requested action | Requester(s) | Response required by: | Comments |
|---|---|---|---|---|
| 17 August 2021 | Feedback response |
| Please post your final responses in the Country response table below. Discussion comments can be made as comments. Please also tick the box next to your name when completed. |
Relevant documents
Links
Country response
| Country | Date | Response |
|---|---|---|
| US | 17AUG2021 | Summary: No objection to removing the intent from "diagnostic endoscopy" codes. Analysis: There is evidence of some "diagnostic endoscopy" codes in some value sets from the Value Set Authority Center (VSAC). For example: 232516003 Diagnostic endoscopy of nose and sinuses (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96 However, this broad value set (2.16.840.1.113883.3.88.12.80.28) seems to contain all 59k procedures and does not represent specific use of these concepts. There are also "diagnostic endoscopy" codes in the value set Specimen Collection Method (2.16.840.1.113762.1.4.1062.5), including: 176178006 Diagnostic cystoscopy (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96 In this case, the "diagnostic" aspect does not seem essential to the specimen collection process. Finally, procedures other than endoscopy are sometimes reflective of an intent, e.g.: 236954006 Diagnostic amniocentesis with fluid replacement (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96 Should these be reviewed as well in a subsequent round of QA to remove intent from procedures? |
| Belgium | 23AUG2021 | Inactivition (and replacing) of the concepts including the intention of colonoscopy procedures (diagnostic/therapeutic) will not affect the Belgian release at this point in time. |
| Sweden | 13SEPT2021 | Sweden have no objection to the suggested changes. |
| Australia | 13SEPT2021 | There are no content or implementation issues on the Australian side arising from this proposed amendment to the modelling. We do note that we have several AU concepts that will be affected and this will be addressed from our side. Some of the affected concepts do appear in some of our third party reference sets. We will update the owners of the refsets once these changes are implemented. The proposed change does not affect any NCTS FHIR value set definitions. |
| Netherlands | 14SEPT2021 | We do have descendants of diagnostic endoscopy in our diagnosis lists and extension. But the question is do we need them. We will reconsider the concpets internally and agree with the removing of the content. |
| UK | 14/09/2021 | Endoscopy is by default diagnostic (-scopy = viewing) therefore removal of the word "diagnostic" from these codes will not change their meaning. I understand that these codes will be replaced by codes that have the same descriptions minus the word "diagnostic". I agree that there is no reason for diagnostic and therapeutic endoscopy codes to exist, because if endoscopic procedure proceeds to therapeutic procedure, then the wording would change from Endoscopy of Y site to Endoscopic X procedure on Y site. For this reason, I dont think that the same endoscopic procedure can be either diagnostic or therapeutic, and there should be no reason to use Has intent - diagnostic or therapeutic on such procedures, maybe with some rare exceptions. Edited to add that inactivation of concept 363071007 |Diagnostic endoscopy (procedure)| and its subtypes will affect following UK concepts: Diagnostic endoscopic examination of bladder and biopsy of lesion of prostate (procedure) We will resolve this as part of reconciliation of UK edition and international content when these changes trickle down to us. |
| Canada | 20210915 | There was no objection expressed from the community to the suggested changes. |
| Member countries without a CMAG rep |
CMAG response
| Date | CMAG Response | Next steps |
|---|---|---|