Approval of minutes from April 2019 Business meeting

Agenda changes

Edited transcript is located hereRequest to let Daniel Karlsson go first in the agenda.

•   Approval of minutes
•  Agenda change approved

A proposal to replace many of the diet finding terms (e.g. high fat diet) with regime/therapy concepts has run into an obstacle with the current usage within the UKTC where these terms originated. In consultation with the UKTC, it has been proposed that we:

• continue with the addition of valid diet regimes (current diet findings are being reviewed for validity
• inactivate and replace diet findings with more precise terming (e.g. Follows X diet regime (finding)) to allow for graceful evolution and tracability

At the April London business meeting, it was determined that an approach to the identification of the recommended content of the proposed clinical core be determined by a set of both inclusion and exclusion criteria.

Agreed inclusion criteria:

• global applicability
• contextless
• clinically oriented (including content from foundation hierarchies needed to define concepts)
• supported by a clinical use case
• used to align with other terminology standards (e.g. ICD)

Exclusion criteria include:

• administrative, operational or status concepts
• situations with explicit context
• combined disorders
• Implicit or explicit negations/absence
• Inverse concepts (cooperative vs uncooperative)
• Pre-coordination of laterality
• Pre-coordination of severity
• Specific top-level hierarchies - all except Pharmaceutical/biological product and Substance are currently passively maintained
  • Environment or geographical location (environment / location)
  • Organism (organism)
    
  • Pharmaceutical / biologic product (product)
    
  • Physical force (physical force)
    
  • Physical object (physical object)
    
  • Record artifact (record artifact)
    
  • Social context (social concept)
    
  • Staging and scales (staging scale)
    
  • Substance (substance)
    

Discussion 2019-08-28: Additional high level exclusion criteria

• Need to specifically define what is meant by "clinically-oriented" - again, might be easier to exclude what is not clinically oriented. Focus should relate directly to the "life phase" of the patient or procedures that address the "life-phase" of the patient.
• How much of the foundation should be actively maintained as part of the clinical core?
• How much of the international release is empirically defined?
• Is the potential membership of the "problem list" candidates for the clinical core?
• Suggested that we focus on those concepts that can have full DL definitions, consistent with a single ontological view