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- Are there specific hierarchies/ sub-hierarchies that should or should not 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 concepts
- Examples: Myocardial infarction, Internal fixation of femur
- If atomic concepts are actively maintained is there a need to include:
- Compound content e.g. X with Y, X without Y, X due to Y etc.
- Example: If the concept |Anemia| actively maintained, does the subtype |Anemia caused by heat| also need to be actively maintained?
- Other examples: |Stroke co-occurrent with migraine|, Cholecystectomy |Cholecystectomy and operative cholangiogram|
- Content with context
- Example: If the concept |Colonoscopy| is actively maintained does the concept |Colonoscopy planned| also need to be actively maintained?
- Other examples: |Nausea present|, |No pain|, |History of burn|, Colonoscopy |Colonoscopy planned|
- Content relating to someone other than the subject of the record e.g. Mother |Mother smokes|, |Family history of neoplasm|
- Lateralised content
- If femoral |Femoral hernia is actively maintained|, is there a need to actively maintain left/right femoral hernia?
- Concepts that include severity in the meaning?
- Examples: |Severe pain|, |Severe depression|
- Compound content e.g. X with Y, X without Y, X due to Y etc.
- Concepts used to define other concepts - Target values for concepts
- Example: The subtypes of |Action (qualifier value)| are used as the target value for the |Method| attribute. Do they need to be actively or passively maintained? If they need review, should this be done and then they are passively maintained?
- Atomic concepts
- Content with intellectual property considerations
- Administrative content
- Examples: 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 |Disorder of lung|
Suggested approach:
- From now until June 3rd10th:
- Brainstorm what aspects to be considered e.g. atomic concept, context when identifying what content should be actively maintained?
- Members are asked to post their thoughts, ideas and questions in the discussion forum: to be set up
- Start to identify which hierarchies or sub-hierarchies should be actively maintained (even if not all the content in that hierarchy or sub-hierarchy should be actively maintained)
- Members can post initial thoughts and ideas in the following spreadsheet: https://docs.google.com/spreadsheets/d/1qv3aB1TVXRCuzkb-xGY-xwhW7nLGlQAIdrVQBylWad0/edit?usp=sharing on the tab for their country.
- Brainstorm what aspects to be considered e.g. atomic concept, context when identifying what content should be actively maintained?
- June to August:
- Review and discussion of the information provided by members with further exploration of key points as required.
- September:
- Development of a response to SNOMED International
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