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The 2020-2025 SNOMED International draft strategy includes the proposal for the current identification of content in the International Edition to segmented into 2 components:
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that should be the focus of active ongoing maintenance by SNOMED International. The identified content should be concepts that are a priority for use, important to keep clinically validated and needed for global use in an unambiguous manner.
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- The proposal is that this content would be to actively maintain this content
This content would be known as the Clinical Core and would be actively maintained. The remainder of the content in the International Edition would be maintained passively by SNOMED International.
CMAG has been asked to provide input on which concepts should be considered for inclusion in the actively maintained part of the International Edition.
Work plan:
- From now until June 10th:
- 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 spreadsheet on the tab for their country. Please see email for the link.
- 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
- aspects to consider
- hierarchies (and sub hierarchies)
- Review and discussion of the
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- The proposal is that this content would be passively maintained.
Notes:
- Content is not going away.
- Aim is to assist in determining which areas of content should be the focus for the quality work.
- 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.
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- for inclusion in the Clinical Core.
Some initial things to consider:
- September:
- Development of a response to SNOMED International
Some points to help start off the group discussion:
- Are there specific Which hierarchies/ sub-hierarchies that should or should not be part of the clinical coreClinical 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
- 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 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.
- Compound content e.g. X with Y, X without Y, X due to Y etc.
- Atomic concepts
- Laterality
- Severity
- Staging and scales
- 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 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 planned|
- Content relating to someone other than the subject of the record e.g. |Mother smokes|, |Family history of neoplasm|
- Lateralised content
- If |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|
- 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?
- Content with intellectual 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 Navigational concepts e.g. |Procedure by body site|, |
Working sheet: https://docs.google.com/spreadsheets/d/1qv3aB1TVXRCuzkb-xGY-xwhW7nLGlQAIdrVQBylWad0/edit?usp=sharing
- Disorder of lung|
Relevant documents and links
EAG April meeting: 2019-04-08, 2019-04-09 Editorial Advisory Group Face-to-face Meeting
| Attachments |
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Actions:
| Date | Requested action | Requester(s) | Response required by: | Comments |
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Relevant documents
| Attachments |
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Actions
- Type your task here, using "@" to assign to a user and "//" to select a due date
Links
Country response
| Country | Date | Response |
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| Member countries without a CMAG rep |
CMAG response
| Date | CMAG Response | Next steps |
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Final outcome:
24 May 2019 (as per email) | See work plan above |
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Links
CMAG response
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