Date: 2022-09-26
Time:
1030 - 1200 PDT
1730 - 1900 UTC
1830 - 2000 BST
Zoom Meeting Details
Attendees
Chair:
AG Members
- John Snyder
- Feikje Hielkema-Raadsveld
- Matt Cordell
- Monique van Berkum
- James R. Campbell
- Jeffrey Pierson
- Paul Amos (ex officio)
Invitees
Observers
Apologies:
Meeting Files:
View file | ||||
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Meeting minutes:
The call recording is located here.
Objectives
- Obtain consensus on agenda items
Discussion items
Item | Description | Owner | Notes | Action | ||||||||
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1 | Call to order and role call | This meeting is being recorded to ensure that important discussion points are not missed in the minutes. The recording will be available to the SNOMED International community. Joining the meeting by accepting the Zoom prompt declares that you have no objection to your comments being recorded |
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2 | Conflicts of interest and agenda review | None noted. | ||||||||||
3 | Welcome new members | Jim Case | Welcome to the new members of the EAG: Feikje Hielkema-Raadsveld , John Snyder , Matt Cordell We would like to express our gratitude for the service of our departing members Keith Campbell and Jeremy Rogers. | 3 | Measurement Findings: Proposed changes to FSNs | Paul Amos | ||||||
4 | Reevaluating "History" vs. "Past history" situation concepts | Jim Case | Currently, most "417662000 |History of clinical finding in subject (situation)|" concepts (~1000) are modeled with a TEMPORAL CONTEXT of 410513005 |In the past (qualifier value)|. The exceptions are "Family history of X" concepts. While this makes sense in the context of procedures, it is not so clear with clinical findings. In many cases clinical history involves conditions that are both current and in the past (e.g. history of cough for last 10 days). While we have a few concepts that specifically state "Past history", for the most part History of clinical findings represent conditions that were in the past and do not represent ongoing clinical conditions. It is recommended that these concepts be remodeled with a new TEMPORAL CONTEXT, either the existing 410511007 |Current or past (actual) (qualifier value)|, or a new "Current and/or past (qualifier value). As this change is more general than the current modeling, it should ahve no impact on the taxonomic structure of the hierarchy. | 4 | Reactivation guidance | Jim Case | In the course of reterming FSNs as part of the Quality Improvement project, there are occurrences where the change in the FSN to conform to editorial policy results in a validation error identifying an inactive concept with the same FSN. The error is: An FSN must be unique within all active FSNs across all concepts. This term already exists against inactive concept <SCTID>. There had been general guidance provided for this that the inactivated concept with the proper FSN would be reactivated and replace the concept with the improper FSN; however, in many cases this would result in frustration for users, as it would result in the inactivation and replacement of a concept with the concept that it replaced in the first place. Recognizing the need to minimize the impact on users, it is important to take into account the fact that time plays an important role in which concept to inactivate and which one to retain. One consideration is which term has had the "greater opportunity" to be used in health records. This includes when a concept was introduced into the terminology, how long it was active and when it was inactivated. Guidance is needed for instances where duplicate FSNs are created as part of the reterming of active concepts to align with the quality improvement project. Options include:
| 5 | Modeling of "Palsy" concepts | Paul Amos | A query has arisen internally regarding the definition and modeling of 784289008 |Nerve palsy (disorder)|. The attached Briefing Note details the issues and asks the question; Does "Nerve palsy" have the same meaning as "Mononeuropathy"? Proposals for an updated definition and modification to the modeling, depending on the answer to the above question, have been presented. Please review the briefing note and contribute your thoughts and comments at the meeting. Discussion: Decision: | |
10 | AOB | EAG | ||||||||||
11 | Next meeting | EAG | SNOMED Business meeting Monday Sept 26. | |||||||||
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