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- Aim of this work is to provide member input on 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.
Some points to start the discussion:
- Which hierarchies/ sub-hierarchies should be part of the clinical core?
- Findings, Disorders, Procedures
- 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.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
- Atomic components
- Content with 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 concepts e.g. Procedure by body site, Disorder of lung
Working sheet: https://docs.google.com/spreadsheets/d/1qv3aB1TVXRCuzkb-xGY-xwhW7nLGlQAIdrVQBylWad0/edit?usp=sharing
Suggested approach:
- Brainstorm what aspects (such as above) need to be considered? (May)
- Identify which hierarchies should be included (even if not all the content should be included in the clinical core) (May)
- Look at hierarchies identified for inclusion using the aspects to be considered (still at a high level) (June - August)
- Develop response and provide to SNOMED International (September)
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Relevant documents
Working sheet: https://docs.google.com/spreadsheets/d/1qv3aB1TVXRCuzkb-xGY-xwhW7nLGlQAIdrVQBylWad0/edit?usp=sharing Relevant documents
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Actions
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Links
Country response
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CMAG response
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Final outcome:
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