SNOMED CT Editorial Advisory Group

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Date: 2019

1800 - 1930 UTC

1100-1230 PDT

1400-1530 EDT

1600-1730 Argentina time


Zoom Meeting Details

SNOMED Int'l Editorial Advisory group  

Please join my meeting from your computer, tablet or smartphone:


Topic: SNOMED Editorial Advisory Group Conference Call

Time: Mar 19, 2019 1900 UTC; 1100 PDT

https://snomed.zoom.us/j/464312001

Attendees

Chair:

AG Members





Observers:

Cathy Richardson

Ian Spiers

Yongsheng Gao

Penni Hernandez



Apologies

Meeting Files

Meeting recording

The folder containing the meeting recordings is located here.

The recording for this meeting is located here.

Objectives

  • Obtain consensus on agenda items
  • Provide resolution for outstanding issues

Discussion items

ItemTopicOwnerDescriptionDiscussionAction
1

Call to order and role call

Conflicts of Interest

JCA

GRE - Contractor to SI, Principal in TermMed

Start recording



ECE UpdateBGO

Gout secondary to drug treatment

Secondary gout discussion

Inactivation of secondary disorders.pptx

Secondary diseases_SNOMED.xlsx


Non-traumatic injuries

Injury_damage_traumatic_nontraumatic.pptx

  • Injury discussion
    • Damage and injury are often used synonymously
    • ICD definition for injury is more specific to traumatic injuries
    • Trauma is more of a process than a morphology
    • Non-traumatic is difficult to define
    • There is a gray area between traumatic and non-traumatic
      • Is this a false dichotomy -what is the use case for making the distinction?
    • What are we trying to distinguish? External causes? Suggestion to consider using DUE TO = Event as opposed to a pathological process
    • There is not much difference in treatment base don whether traumatic or non-traumatic
    • Consider using the mechanism of injury rather than trying to distinguish trauma vs. non-trauma
    • Initial step WRT non-traumatic brain injury proposed to create intermediate primitive
  • Test the use of DUE TO = event to model traumatic events Bruce Goldberg
  • Create a new primitive term "Non-traumatic injury" as a stop gap to address the obstacles to defining this notion Bruce Goldberg

Substance role groupsTMO

Product role disposition

Product role options

Product role affected concepts

  • Five options discussed
    • Concern expressed by KCA that ignoring option 4 is not based on correct representation and does not address the true issue.
    • What should be modeled in the core? Most of the modeling of therapeutic roles should occur in extensions.
    • Recommend that option 4 be reworded to state that it would be an evolutionary approach
    • The main problem is that the core is currently not modularized so it is not possible to segregate these relationship outside of the core module.
    • The secondary issue is that the association of clinical drug to the product roles is jurisdictionally dependent.
      • Suggestion is that these associations be placed in a separate module
  • Test the potential for creation of a new attribute within a new International release module. This would be part of the International release, but could be excluded if desired (i.e. there is an extension replacement) - refer to MAG and TRF AGs for testing
  • Test use of non-defining attribute for future movement towards modularization - requires tooling change?
  • Maintain a role hierarchy without defined subtypes as part of the international release, except for those that can be identified as universally accepted, requiring national extensions to maintain differences. Use existing drug terminologies. Potential issues exist with leveraging the classifier for this.

SNOMED CT Clinical CoreJCA

Background on proposed "SNOMED Clinical Core"

Discussion on mechanism to identify content for the core

Continued to the April Business meeting
  • Jim Case to present new content strategy in detail at the April Business meeting

Future meetingsJCA

Development of agenda topics for April Face-to-face meeting

Will be handled by email exchange

























3 Comments

  1. Bruce Goldberg

    Create a new primitive term "Non-traumatic injury" as a stop gap to address the obstacles to defining this notion 

    Jim Case Just to clarify, I thought the decision was to just create "Non-traumatic brain injury". Pers onally, I would favor creating Non-traumatic injury and Non-traumatic brain injury and remodeling the existing Non-traumatic disorders uner Non-traumatic injury.

    Bruce

    1. Jim Case

      Bruce Goldberg , I think the philosophy of using non-traumatic injury is the same whether brain injury or not, so I think testing the use of the the additional intermediate primitive on non-traumatic injury will address the issue more broadly.

      1. Bruce Goldberg

        I fully agree.