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DateRequested actionRequester(s)Response required by:Comments
11 April 2022

Feedback on questions asked at the April 2022 CMAG meeting: 

Questions:

  • The following grouper concepts exist under 362961001 |Procedure by
    intent (procedure)|. How useful are these groupers in practice as they do not capture all
    diagnostic and therapeutic procedures and could they be inactivated?
    • 103693007 |Diagnostic procedure (procedure)| - 764 descendants
    • 277132007 |Therapeutic procedure (procedure)| - 2088 descendants
  • How useful are the other high level concepts that give little clinical information and have
    few or no subtypes. Examples include:
    • 36219006 |Diagnostic procedure on tibia (procedure)|
    • 39550008 |Diagnostic procedure on iris (procedure)|
Please post your responses in the Country response table below. Discussion comments can be made as comments.

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CountryDateResponse
Denmark20220519We know that our analysts would want this type of division, but our clinicians tell us that it is not possible to make this in practice. So the goupers are only useful if the do capture all. As you say this is not the case we would vote that they can be inactivated.
New Zealand20220607

We agree that separating diagnostic from therapeutic intent is not practical. We agree these may be inactivated.

USA20220607Intent is generally not a key element in the description of procedures. (If something in the procedure is intent-specific, it should be described as a characteristic on its own.) This said, diagnostic and therapeutic procedures are heavily used in value sets, in part because of the current hierarchical organization of SNOMED CT. Therefore, substantial work will be required to adjust to the proposed changes.