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Date

2020-02-26

Time:

1800 UTC

1000 PST

Zoom Meeting Details

Topic: SNOMED EAG Conference Call
Time: Sep 25, 2019 10:00 AM Pacific Time (US and Canada)

Join from PC, Mac, Linux, iOS or Android:
https://snomed.zoom.us/j/745439388

Meeting ID: 745 439 388

International numbers available: https://zoom.us/u/aNKqXbcBe


Meeting Files:


Meeting minutes:

The call recording is located here.

The edited transcript is located here.

Objectives

  • Obtain consensus on agenda items

Discussion items

ItemDescriptionOwnerNotesAction
1Call to order and role call

Start recording!

 

2Conflicts of interestNone. 
3

Approval of minutes from April 2019 Business meeting

Agenda changes

Edited transcript is located here


  •   Approval of minutes
  •  Agenda change approved
4Diet findings vs. Diet regimes

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 traceability


Replacement of substance with Product in Adverse reactionsA question regarding "Adverse reaction" CAUSATIVE AGENT. The work group has determined that these concepts should have the CAUSATIVE AGENT replaced with "Product" concepts. Is this a substantive change that requires inactivation and replacement? Estimated number of concepts =

Evaluation procedures vs. Observable entityDaniel Karlsson

Propose way forward to address the apparent duplication between these two hierarchies:

  • How to handle panels/batteries
  • Order vs. result


Technique hierarchy issuesDaniel KarlssonEvaluation procedures with an observation technique (e.g. ELISA) are often primitives with a few distinct techniques in the 129264002 | Action (qualifier value) | hierarchy (particularly the Imaging – actions). Observable entity has a technique attribute whereas evaluation procedures have none (with an overlap with some actions). Moving eval procedures to observables would possibly require being explicit about the technique.

Flap procedure, transplantation, graftingJim Case

5Additional description typesJim Case

As discussed in KL. Need a list of proposed description types to send to tech services for implementation. Guidance on use will need to be developed. Current use cases to consider are:

  • near synonyms - these can be either "broader than" terms or non-semantically equivalent, but related terms (e.g. vaccination (procedure) vs. immunization (a process following vaccination or administration of immunoglobulin)
  • hypernyms
  • search terms - colloquial terms
  • "Patient-friendly" or consumer terminology
  • abbreviations/truncations

Issues within our current synonyms was identified in an AMIA paper in 2003:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1480077/pdf/amia2003_0949.pdf


6ECE UpdateBruce Goldberg
  • Injury model
    • Proposed model for injuries that are unspecified as to being traumatic or nontraumatic and can be either
    • Revisit complication model for disorders due to procedures

7Concept inactivation project groupPaul Amos

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11Next meetingEAG