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EDQM updates (Source) - July 2022 to September 2023

Inactivations in EDQM

#CodeTermStatusDEUSG Action / Plan
113136000 Gastro-resistant powder for oral suspensionNot ReferencedNo action required
ui210609000 Eye drops, prolonged-releaseNot ReferencedNo action required
350056000 Prolonged-release granules for oral suspensionNot ReferencedNo action required
450026000 Gastro-resistant granules for oral suspensionNot ReferencedNo action required
510307000 Oromucosal dropsNot ReferencedNo action required
650036000 Modified-release granules for oral suspensionNot ReferencedNo action required


New codes in EDQM (1st review by the content Team)

#

Code

Term

Status

Content team evaluation

Products that use this form

Expert feedback

Action / Plan

113179000Granules for modified-release oral suspensionNot Referenced

761901008 | Granules for gastro-resistant oral suspension (dose form) |
213184000Powder for solution for provocation testNot ReferencedNot in scope

Julie M. James has too much specificity about the use, which is out of scope for SNOMED PDF

No action required
313168000Oromucosal drops, solutionNot Referenced



413169000Oromucosal drops, suspensionNot Referenced



513177000Granules for gastro-resistant oral suspensionNot Referenced

761901008 | Granules for gastro-resistant oral suspension (dose form) |Make new map
613165000Suspension for gelNot Referenced



713178000Powder for gastro-resistant oral suspensionNot Referenced

Julie M. James We (SCT) have a differentiation between powders and granules when the dose form is for oral use, so could add this dose form to make the map if required; it fits the model
813162000Concentrate for cutaneous emulsionNot Referenced



913180000Granules for prolonged-release oral suspensionNot Referenced

76nmm421446006 | Granules for prolonged-release oral suspension (dose form) |mnn19761901008 | Granules for gastro-resistant oral suspension (dose form) |01008 | Granules for gastro-resistant oral suspension (dose form) |
1013159000Eye drops, prolonged-release solutionNot Referenced



1113175000Prolonged-release chewable tabletNot Referenced



1213176000Powder for prolonged-release oral suspensionNot Referenced



1313167000Oromucosal drops, emulsionNot Referenced



SNOMED Updates (Target) - July 2022 to September 2023

Inactivations in SNOMED CT (Select map targets if available)

#

ConceptId

Term

Status

Action / Plan

Discussion

1

840651000

 Conventional release chewable capsule (dose form) Not Referenced

See https://request.ihtsdotools.org/#/requests/preview/766062?fromList=true request from  François Macary 

Hi François,

The existing Pharmaceutical dose form concept and the associated Clinical drug concept modeled using it have been inactivated and replaced because the requested changes for the Basic dose form would alter the meaning of the concepts.

The addition of an additional Administration method will be addressed at a later date; it is a change that needs to be done systematically for all affected concepts and also requires additional testing and perhaps a concept model change.

Kind regards,
Toni

2

421873001

 Conventional release oral cream (dose form) Not Referenced
Looking in browser the inactivation target is 1217290000 |Conventional release oromucosal cream (dose form)|. Can see this was added based on a request from  François Macary referencing EDQM PDF mapping; e-prescribe; e-dispense: https://request.ihtsdotools.org/#/requests/preview/767928?fromList=true
3

783749008

 Conventional release oral ointment (dose form) Not Referenced
Inactivation target is 1217289009 |Conventional release oromucosal ointment (dose form)| that was added based on a request from  François Macary referencing EDQM PDF mapping; e-prescribe; e-dispense: https://request.ihtsdotools.org/#/requests/preview/767927?fromList=true
4

1231841006

 Porous impregnated material for conventional release vapor inhalation (dose form) ReferencedPending

Mapped to EDQM: 50033100    Inhalation vapour, impregnated plug

Historical associations to active concepts:

Under discussion

5

784575004

 Conventional release oral spray
1269278009 |Porous impregnated material for conventional release pulmonary vapor inhalation
(dose form)
|
  • 1269279001 |Porous impregnated material for conventional release oromucosal vapor inhalation (dose form)|
  • Christopher Jarvis Inhalation implies pulmonary, favors replacing by 1269278009 |Porous impregnated material for conventional release pulmonary vapor inhalation
     Not Referenced

    Unsure why Toni inactivated but new concept requested by François Macary 1229934008 |Conventional release emulsion for oromucosal spray (dose form)|

    EDQM Interested in understanding the product with more detail.

    Ian Spiers The source materials defined that there was oromucosal use in nicotine cartridges. Original request from Sweden. 

    https://

    www

    request.

    medicines

    ihtsdotools.org

    .uk

    /

    emc

    #/

    product

    Julie M. James respiratory track does not include oromucosal.

    Guillermo Reynoso why is the inactivation reason Outdated? Maybe an option is to maintain the more general concept and add the new ones as children

    5

    784575004

     Conventional release oral spray (dose form) Not Referenced

    requests/

    4707/smpc#gref "Nicorette 15mg Inhalator: inhalation cartridge for oromucosal use"

    preview/769485?fromList=true

    6

    784576003

     Prolonged-release intrauterine drug delivery system (dose form) Not Referenced

    https://request.ihtsdotools.org/#/requests/preview/769521?fromList=true request from  François Macary 

    Hi François,

    Due to the types of changes being requested, the existing concept will be inactivated and replaced with a new concept instead of being updated.

    Kind regards,
    Toni


    New concepts in SNOMED CT (Candidates for creating new maps)

    #

    ConceptId

    term

    Status

    Source

    Action / Plan

    1

    1237270004

     Concentrate for conventional release solution for peritoneal dialysis (dose form)  Not Referenced

    Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

    https://request.ihtsdotools.org/#/requests/preview/770954?fromList=true


    2

    1287605002

     Conventional release solution for intraperitoneal instillation (dose form)  Not Referenced

    https://request.ihtsdotools.org/#/requests/preview/776647?fromList=true 

    https://www.hpra.ie/img/uploaded/swedocuments/Licence_PA22637-005-001_12062019164057.pdf


    3

    1231815000

     Conventional release oral or pulmonary solution (dose form)  Not Referenced

    Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

    https://request.ihtsdotools.org/#/requests/preview/764561?fromList=true


    4

    1237318003

     Concentrate for conventional release emulsion for cutaneous spray (dose form)  Referenced
    No action required
    5

    1255299001

     Tablet for conventional release oromucosal solution for mouthwash (dose form)  Referenced
    No action required
    6

    1237310005

     Concentrate for conventional release oromucosal solution for gargle (dose form)  Referenced
    No action required
    7

    1255234008

     Conventional release suspension for infusion and/or injection (dose form)  Not ReferencedProbably added by Toni as part of project adding 'infusion and/or injection' groupers.
    8

    1237287002

     Concentrate for conventional release cutaneous solution (dose form)  Referenced
    No action required
    9

    1237289004

     Concentrate for conventional release oromucosal solution (dose form)  Referenced
    No action required
    10

    1231816004

     Conventional release intravesical or parenteral or urethral solution (dose form)  Not Referenced

    Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

    https://request.ihtsdotools.org/#/requests/preview/764560?fromList=true


    11

    1237073006

     Prolonged-release intrauterine delivery system (dose form)  Referenced
    No action required
    12

    1237274008

     Concentrate for conventional release dispersion for infusion and/or injection (dose form)  Not ReferencedProbably added by Toni as part of project adding 'infusion and/or injection' groupers.
    13

    1237285005

     Concentrate for conventional release emulsion for infusion and/or injection (dose form)  Not ReferencedProbably added by Toni as part of project adding 'infusion and/or injection' groupers.
    14

    1237267003

     Concentrate for conventional release solution for infusion (dose form)  Referenced
    No action required
    15

    1237263004

     Concentrate for conventional release suspension for injection (dose form)  Referenced
    No action required
    16

    1237288007

     Concentrate for conventional release intravesical solution (dose form)  Referenced
    No action required
    17

    1237264005

     Concentrate for conventional release oral suspension (dose form)  Referenced
    No action required
    18

    1269279001

     Porous impregnated material for conventional release oromucosal vapor inhalation (dose form)  Not ReferencedSee above SNOMED updates
    19

    1237284009

     Concentrate for conventional release emulsion for infusion (dose form)  Referenced
    No action required
    20

    1237266007

     Concentrate for conventional release rectal solution (dose form)  Not Referenced

    Request from François Macary referencing EDQM:

    https://request.ihtsdotools.org/#/requests/preview/770948?fromList=true


    21

    1237271000

     Concentrate for conventional release dispersion for injection (dose form)  Referenced
    No action required
    22

    1237293005

     Concentrate for conventional release solution for nebulizer (dose form)  Referenced
    No action required
    23

    1237265006

     Concentrate for conventional release oral solution (dose form)  Referenced
    No action required
    24

    1255346009

     Conventional release intestinal gel (dose form)  Referenced
    No action required
    25

    1237273002

     Concentrate for conventional release dispersion for infusion (dose form)  Referenced
    No action required
    26

    1237286006

     Concentrate for conventional release emulsion for injection (dose form)  Referenced
    No action required
    27

    1237291007

     Concentrate for conventional release solution for intraocular irrigation (dose form)  Referenced
    No action required
    28

    1269278009

     Porous impregnated material for conventional release pulmonary vapor inhalation (dose form)  Not ReferencedSee above SNOMED updates
    29

    1237269000

     Concentrate for conventional release solution for infusion and/or injection (dose form)  Not ReferencedProbably added by Toni as part of project adding 'infusion and/or injection' groupers.
    30

    1255237001

     Lyophilized powder for conventional release solution for infusion and/or injection (dose form)  Not ReferencedOriginal lyophilized dose form request: https://request.ihtsdotools.org/#/requests/preview/725602?fromList=true probably added by Toni as part of project adding  infusion and/or injection groupers.
    31

    1237290008

     Concentrate for conventional release oral or rectal solution (dose form)  Referenced
    No action required
    32

    1237275009

     Concentrate for conventional release solution for hemodialysis (dose form)  Referenced
    No action required
    33

    1237268008

     Concentrate for conventional release solution for injection (dose form)  Referenced
    No action required
    34

    1255338008

     Conventional release chewable soft capsule (dose form)  Referenced
    No action required
    35

    1279737007

     Prolonged-release solution for eye drops (dose form)  Not Referenced

    Request from Alejandro referencing EDQM map:

    https://request.ihtsdotools.org/#/requests/preview/776391?fromList=true



    36

    1255347000

     Intestinal dose form (dose form)  Not ReferencedAdded in 2022 has one descendant 1255346009 |Conventional release intestinal gel (dose form)| that is a request from Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping and 2022-06-20 EDQM to SNOMED Dose Form Map call) https://request.ihtsdotools.org/#/requests/preview/770417?fromList=true
    37

    1231817008

     Powder for conventional release intravesical or parenteral or urethral solution (dose form)  Not Referenced

    Request from François Macary referencing EDQM PDF: https://request.ihtsdotools.org/#/requests/preview/764559?fromList=true