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Anesthesia Clinical Reference Group
Time: Jul 28, 2020 03:00 PM ET / 20:00 UK
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| Item | Description | Owner | Notes |
|---|---|---|---|
| 1 | Introductions and Apologies | ||
| 2 | Notes of meeting held on 7th April 2020 | Andrew Norton | Agree Agreed as a correct record of the meeting |
| 3 | Matters arising from the previous meeting notes | Terminology for COVID-19 in Intensive Care Tracheal Oedema was discussed. There seems a need for a relatively general term following experience with COVID. Such a term could be associated with the presumed cause, e.g. "Tracheal Oedema due to COVID-19". Monica Harry suggests we propose the most clinically useful term. Description of leakage tests ("cuff leak tests") for endotracheal tubes and tracheostomy tubes was discussed, including the existence of qualitative and quantitative tests. A suitably referenced description should be submitted. Progress with HL7 Domain Analysis model for intraoperative anesthesia : This has become an "informative standard" in HL7 having passed the ballot stage. | |
| 4 | ISO 19223 Lung ventilators and related equipment - vocabulary and semantics | Proposals were discussed for SNOMED CT content update and alignment with ISO11073.
ISO documents are still in development, and a need to reconcile them with SNOMED terms is recognised. Ventilator mode description is seen to be complex, and some terms will appear "wordy" but this may be unavoidable. Perhaps each mode of ventilation shold be considered as a a procedure in its own right, or perhpas an umbrella procedure of "ventilation" with qualifiers to describe modes as they changed. There was agreement that modelling of the area would be a useful approach to see wwhich approach was most practical. The issue of copyright when aligning standards was discussed. Jane Millar asked whether Steven Dain would speak to the ISO hierarchy and investigate whether ISO had any concerns about aligning our standards. When ISO terms are complete, SNOMED terms will require review and revision. Changes in SNOMED terminology will probably not be beneficial beforehand as they may soon need revision afterwards. | |
| 5 | Observations vs Clinical findings | Summary of recent discussions (attached). The discussions have informed an ongoing submission. Observable entities. LOINC terms remain under discussion. It is hoped that a working agreement will soon lead to fewer working restrictions. It may be worth reviewing pending requests to stress the multi-natinal nature of our group - if two or more nations make a request this may expedite their processing. Amendments to SNOMED editorial guidance | |
| 6 | Assessment scale modelling | Revisit guidance for modelling assessment scales, especially in relation to clinical descriptions that represent or define a point in an assessment scale | |
| 7 | SNOMED updates | ||
| 8 | Any other business | ||
| 9 | Next Meeting - Tuesday 28th September 2020 |
| View file | ||||
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