Date: 2020-12-15
Time:
1800- 2000 UTC
1000-1200 PDT
Zoom Meeting Details
Topic: SNOMED International Editorial Advisory Group Conference Call
Time: Dec 15, 2020 10:00 AM Pacific Time (US and Canada)
Join from PC, Mac, Linux, iOS or Android:
https://snomed.zoom.us/j/93880504512?pwd=Ti85QmZZbHJTMWtXMElCWmZuZmpoQT09
Password: 280970
Meeting ID: 938 8050 4512
International numbers available: https://snomed.zoom.us/u/aflX0gBxo
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Objectives
- Obtain consensus on agenda items
Discussion items
| Item | Description | Owner | Notes | Action |
|---|---|---|---|---|
| 1 | Call to order and role call | Start recording! | ||
| 2 | Conflicts of interest and agenda review | No conflicts noted | ||
| Update: Pathological fracture | Jim Case | Pathological fractures, remaining issue: Fractures occurring in the presence of disease have FSNs that state the disease is the cause of the fracture (e.g. Pathological fracture of femur due to neoplastic disease). While the disease is a predisposing factor in the fracture, it is not directly the cause of the fracture. Previously these concepts had been modeled using a DUE TO = Neoplastic disease or Osteoporosis. They have since been remodeled to remove the DUE TO and have expressed the disease as a co-occurrence. At a prior EAG meeting it was proposed to rename these concepts as below:
Question: Due to the remodeling of the terms and the proposed renaming, should these concepts be inactivated and replaced with terms that more accurately represent the condition? There is definitely a change in meaning with the removal of the DUE TO relationship and erroneous FSNs that explicitly represent causality. Is simple renaming appropriate here? Discussion: Following discussion, a number of options for modeling fractures as a whole were discussed Update 11/3/2020: Based on the discussion and a general consensus that fractures should be agnostic as to mechanism unless specifically stated in the FSN. The DUE TO = Traumatic event relationship has been removed from fracture concepts except where need to preserve proper inferences (e.g. open fractures are by definition traumatic and the DUE TO relationship is needed to classify under "Wound"). This results in pathologic and insufficiency fractures classifying as in prior releases under the fracture of the same bone. This will appear in the Jan 2021 release. | ||
| Poisoning, drug overdose, toxic effect - definitions for remodeling | ||||
| Update from Concept Inactivation Workgroup | Paul Amos | |||
| Glascow coma score and assessment scale components | Based on a discussion at the Anesthesia CRG there is a requirement to add more content to express Glasgow coma scores. Please see full discussion here: https://confluence.ihtsdotools.org/display/ACRGT/Glasgow+Coma+Score References to Standarization of the GCS: https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020EN) https://ckm.openehr.org/ckm/archetypes/1013.1.137/printable https://www.glasgowcomascale.org/ Draft document from Anesthesia CRG: https://drive.google.com/file/d/1lZJlarREeIIRPk5E1zVtZUktLQlPH3G5/view?usp=sharing | |||
| ECE topics | Bruce Goldberg | |||
| Next meeting | EAG | Discussion: | ||
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