Date: 2018-10-16
1600 - 2400 UTC
0900-1700 PDT
1200-2000 EDT
1300-2100 Argentina time
Zoom Meeting Details
SNOMED Int'l Editorial Advisory group
Please join my meeting from your computer, tablet or smartphone:
Topic: SNOMED Editorial Advisory Group Face to Face Meeting
Time: Oct 16, 2018 1600 UTC
Join from PC, Mac, Linux, iOS or Android:
https://snomed.zoom.us/j/313576416
Attendees
Chair:
AG Members
- Guillermo Reynoso
- Paul Amos - ex officio
- Jeremy Rogers
- Jeffrey Pierson
- Keith Campbell
- Daniel Karlsson
- Bruce Goldberg
Observers:
Apologies
Meeting recording
The folder containing the meeting recordings is located ____
The recording for this meeting is located ___
Objectives
- Obtain consensus on agenda items
Discussion items
Item | Description | Owner | Notes | Discussion | Action | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Call to order and role call | JCA | ||||||||||||
2 | Conflicts of interest Notice of recording | JCA | GRE - Contractor to SI, Principal in TermMed | |||||||||||
ECE Update | BGO |
| ||||||||||||
Allergy and Intolerance update | BGO |
| Continued to Face-to-face meeting | |||||||||||
Observables project group update | DKA |
| Usage of observables by UKTC: | Strict hierarchy paper | KCA | Discuss this paper in light of the new drug model. Specifically how the new model resolves many of the issues with incorrect inferences related to the IS A hierarchy in substances. | In spite of not being a strict hierarchy, SNOMED still doesn't have the types of relationships needed to support CDS in specific use cases. Modularity is an approach that should be evaluated as a potential solution to domain specific use cases. Advantages over refsets: standarization the representation of needed content, a structured approach. What is SNOMED's policy on addition of content to meet domain specific requirements? Concerns about patient safety to make corrections being delayed by the release cycle need to be addressed. JTC mentioned the discussions about more frequent releases and would update the EAG when decisions have been made. JPI mentioned the concern that comes with daily releases. These will be addressed with the final proposal for release schedule. Also mentioned the proposal to convert releases to a service-oriented approach and the potential for continuous release. |
| Update from TermMed: Naked kernel constructs | GRE |
| GRE demonstrated a simple representation of the us eof Clinical entities and a resolution of the current Situation artifact of the inverted hierarchy when using "Known absent". KCA reaffirmed his objection to the use of logical negation in the context of presence/absence findings and the use of a measurement approach that would represent presence/absence without the need for logical negation. The current Situation model does not correctly represent absence in the hierarchy and this is the primary problem that needs to be resolved. KCA proposes that the Situation with explicit context hierarchy would be the first subset of content to be placed into a module that is dependent on the Clinical entities (phenomenon) hierarchy. We need to support the need for absence content as used by most large scale EHR systems. The current released content for absence findings in the Situation hierarchy is incorrect because of the inverted hierarchy. | ||
Historical association refset | JRO | Revisit the intended meaning and operational consequences of the nine subflavours of 900000000000522004|Historical association reference set (foundation metadata concept)|
| Ran out of time, continued to Vancouver | |||||||||||
Sources of truth | BGO |
| Continued to Face-to-face meeting | |||||||||||
Followup on clinical statement model project group | JCA | Summary of discussion from F2F meeting | Potential Actions
a. Identification of the specific issues.
a. Solicit feedback from the CoP. That will be our consultation process.
a. HL7 Clinical Statement model: (https://www.hl7.org/implement/standards/product_brief.cfm?product_id=40) Ran out of time, continued to Vancouver | Agenda planning for Vancouver | JCA, EAG | Pending | ||||||||
Future meetings | JCA | Pending |