SNOMED CT Editorial Advisory Group

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Date

02/XX/2017

 UTC 

GoToMeeting Details

SNOMED Int'l Editorial Advisory group  
Feb XX, 2017   

 UTC

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Attendees

Chair:

AG Members

 

 

 

 

Observers:

 

Apologies

Meeting Files

 

 

Meeting minutes

Objectives

  • Obtain consensus on agenda items

Discussion items

ItemDescriptionOwnerNotesAction
1Call to order and role callJCA 

 

2Conflicts of interestJCANone. 
3Approval of minutes from 01/20/2017JCA 

 

 Drug Model deliverable reviewTMODrug Model Editorial Guide 
 Substance redesign document reviewJCA/TMO

Substance hierarchy redesign

 

 Guidance for creation of new anatomy conceptsJCA

Issue: In some case, the representation of FINDING SITE at the proper level of granularity requires multiple body structures. E.g.:

The proposal under consideration is:

 

 
     
 ECE UpdateBGO

Update on ongoing issues with ECE

  • Model for complications and sequela incl. postoperative complications
  • Final approval on editorial guide updates for combined disorders
    • Result of combine disorder naming exercise
  • Updates to allergy models
    • Allergy to substance
    • Allergic disorder caused by substance
    • Pseudoallergy to substance
    • Intolerance to substance
    • SNOMED allergy content and ICD-11
  •  Final agreement on the model for surgical complications/sequellae
  •  Editorial guidance for combined disorders (BGO)
  •  Editorial guidance on Allergy to substance
  •  Editorial guidance on complications/sequellae
 Arteriography vs. ArteriogramJCA

Link to Fast track Angiogram

Current editorial guidance for "Arteriography of X" concepts recommends the addition of "Arteriogram of X".

7.8.4 Magnetic resonance imaging - "...It was agreed that the use of near synonyms is acceptable for these procedures (i.e. angiogram/arteriogram)."

7.8.8 Fluoroscopy imaging -

Fluoroscopic arteriography
Descriptions:
FSN: Fluoroscopic arteriography of X (procedure)
PT: Arteriography of X
Synonym: Arteriogram of X
Synonym: Angiography of X
Synonym: Angiogram of X

An arteriogram is the output of the procedure and is more akin to a record artifact than a procedure. Question from the editorial team is whether this guidance is still acceptable due to a large number of requests in this area.?

 

  •   Get consensus on whether to maintain current guidance on synonymy for "arteriography" concepts or revise to reflect the "information object" nature of "-gram"
     

"If two body structures are needed to fully define the finding site for a condition, then a combined anatomic structure shall be created to represent that body structure."

For example: A new body structure "Bone structure of distal phalanx of great toe (body structure)" would be created to support the modeling of the concept above.

 
 Editorial guidance on role groupingJCACreate a table of mandatory grouping of relationships.  Rationale – needed for template based authoring, provides internal consistency of model patterns, allows for batch editing due to consistency. 
 ECE UpdateBGO

Update on ongoing issues with ECE

 

  Aligning SNOMED CT with clinical use casesKCA/JCACarried over from past meetings: High level discussion on whether SNOMED CT is appropriately organized to support the highly variable granularity of content the are influenced by current EHR applications (i.e. single code recording of pre-coordinated content) and newer initiatives that are focused on capturing more structured data (e.g. CIMI, FHIR)  Action item reviewEAGSpace Actions 
 Next meetingEAG