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ItemDescriptionOwnerNotes
1Introductions and Apologies
2Assessment scale modelling

Presentation on deployment of the Glasgow Coma Scale using the observables model in the Nebraska Medicine EHR

Machine Learning and Glasgow Coma Scale.pptx

Jim Campbell gave a very informative presentation on the use of the observables model to codify data for recording the Glasgow Coma Score in Nebraska Medicine EHR. As well as codifying the metadata properties of the observable  concerned (motor, verbal, eye response), the observable value is recorded as an integer.  Clinical recording is informed by a free text value set.

Steven Dain raised a number of points about the recording of clinical descriptors and how neurological findings that equated to clinical points in the scale observable could be recorded for the purpose of a clinical record.  There was agreement that this would be a useful subject for discussion with neurologists and Jane Millar informed the group that there was progress in the formation of a neurology CRG.

The group and Jim Campbell all agreed that the precoordinated Glasgow Coma score findings terms incorporating the summed value were of limited benefit.

The group thanked Jim Campbell for demonstrating a functional way of representing GCS which may be a useful way for SOMED to move forward.

3ISO19223 ventilator terminology

Review of ventilator modes submission for inclusion in SNOMED CT

APRV, ACAP, Bilevel terms for discussion.
- APRV is difficult to classify, as it could be described by more than one of the existing terms. Andrew Norton will draft suggestions and discuss them with user-619d4.

A number of existing SNOMED terms will be reviewed to ensure that they are specific and relevant.  Andrew Norton and Monica Harry have discussed this offline. A number of old terms may merit retiral.

4

Matters arising from the previous meeting notes

2021-04-19 Anesthesia CRG at SNOMED Business Meeting

2021-04-20 Anesthesia CRG at SNOMED Business Meeting

Andrew Norton

Review minutes for accuracy.  Some items outstanding are included in the agenda.

The notes of both meetings during the SNOMED Business Meeting were accepted as a satisfactory record.

5SNOMED updates










6Terminology requests following April meeting
7Any other business



Date of next meeting - Tuesday July 27, 2021

This is line with the usual schedule of 4th Tuesday alternate months