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• A clinical core of priority use clinically validated content that can be globally used in an unambiguous manner. 
  • The proposal is that notes this content would be to actively maintain this contentmaintained.
• Existing International Edition content that is not part of the core. 
  • The proposal is that notes this content would be passively maintained. 

Notes:

CMAG has been asked to provide input on what content should be considered for inclusion in the Clinical Core.

Notes:

• Aim of this work is to provide member input on
• Content is not going away.
• Aim is to assist in determining which areas of content should be the focus for the quality work. 
• Content not in the Clinical Core is not going away.
• Content in core may change over time (dynamic).    
• How this segmentation would be undertaken has not been determined and is out of scope for this discussion.
  

CMAG has been asked to provide input on what content should be considered for inclusion in the Clinical Core.

Some initial things to consider:Some points to start the discussion: 

• Which hierarchies/ sub-hierarchies should be part of the clinical core?
  • Content with context
    • X present, X absent
    • History
    • Relates to someone other than the subject of the record e.g. Mother
  • • Findings, Disorders, Procedures
    Concepts used to define other concepts
    • Within the core and/or other editions
    • Foundational hierarchies e.g. Body structure, Observables
    • Qualifier values e.g. Action values, Colours etc...
    • Events, Record artifact, Staging and scales?
  • What types of content should be part of the clinical core?
    • Atomic components
      • Examples: Myocardial infarction, Internal fixation of femur
    • Compound content e.g. X with Y, X without Y, X due to Y etc.
      • Examples: Anemia caused by heat, Stroke co-occurrent with migraine, Cholecystectomy and operative cholangiogram
    • Content with context
      • Examples:  Nausea present, No pain, History of burn,  Colonoscopy planned
      • Relates to someone other than the subject of the record e.
  • Laterality
  • Severity
  • Staging and scales
  • • • g. Mother smokes, Family history of neoplasm 
    • Concepts used to define other concepts - Target values for concepts
      • Is this just within the clinical core and/or other editions
    • Lateralised content
    • • If femoral hernia is actively maintained, is there a need to actively maintain Left/Right femoral hernia?
    • Severity
      
      • Examples: Severe pain, Severe depression
  • Content with intellectual Intellectual property considerations
  • Administrative content
    • Statuses, Procedures
  • Content to support alignment with other Terminologies, Classifications and Standards
    • What if the meaning doesn't align with SNOMED Editorial Guidelines?
  • Grouping Navigational concepts e.g. | Procedure by body site|, Disorder of lung 

  Working sheet: https://docs.google.com/spreadsheets/d/1qv3aB1TVXRCuzkb-xGY-xwhW7nLGlQAIdrVQBylWad0/edit?usp=sharing - still in development.

   

  Date	Requested action	Requester(s)	Response required by:	Comments

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