Date: 2018-10-16
1600 - 2400 UTC
0900-1700 PDT
1200-2000 EDT
1300-2100 Argentina time
Zoom Meeting Details
SNOMED Int'l Editorial Advisory group
Please join my meeting from your computer, tablet or smartphone:
Topic: SNOMED Editorial Advisory Group Face to Face Meeting
Time: Oct 16, 2018 1600 UTC
Join from PC, Mac, Linux, iOS or Android:
https://snomed.zoom.us/j/313576416
Attendees
Chair:
AG Members
- Guillermo Reynoso
- Paul Amos - ex officio
- Jeremy Rogers
- Jeffrey Pierson
- Keith Campbell
- Daniel Karlsson
- Bruce Goldberg
- Toni Morrison
Observers:
- Penni Hernandez
- Farzaneh Ashrafi
- Maria Braithwaite
- Monique van Berkum
- Krista Lilly
- Nicola Ingram
- Chris Vitele
- Penny Livesay
- Kylynn Loi
- Alana Lane
- Josée Migneault
- Rikard Lovstrom
- Constantina Papoutsakis
- Anne Randorff Højen
- Kirstine Rosenbeck Gøeg
- user-d7f9c
- Jon Zammit
- Olivier Bodenreider
- Mara Hummeluhr
- Peter G. Williams
- James R. Campbell
- Phuong Skovgaard
- Cathy Richardson
- Patricia Houghton
- Vojtech Huser
- Shapoor Shayegani
- Linda Parisien
- Winnie Lee
- Kai Kewley
- Corey Smith
Apologies
Meeting Files
Modeling of CVA using GCIs.pptx
Hypersensitivity+allergy modeling guidelines_v6_20180706.docx
Re-examination of co-occurrent and due to pattern.pptx
Evaluating sources of truth for elucidating the meaning of concepts.pptx
Disease association templates_Infectious disease.pptx
Cerebrovascular accident.pptxAllergy update.pptx
Meeting recording
The folder containing the meeting recordings is located ____The recording for this meeting is located ___are located here.
Objectives
- Obtain consensus on agenda items
Discussion items
Item | Description | Owner | Notes | Discussion | Action |
---|---|---|---|---|---|
1 | Call to order and role call | JCA | |||
2 | Conflicts of interest Notice of recording | JCA | GRE - Contractor to SI, Principal in TermMed | ||
3 | ECE Update | BGO |
| EAG accepted proposal to eliminate the use of "Co-occurrent and Due to" pattern in favor of "Due to". |
|
4 | Allergy and Intolerance update | BGO |
| EAG members supported the proposed modeling. |
|
5 | Secondary diseases | JCA | There are a large number of disorder concepts that refer to "Secondary" or "Secondary to". A query was sent to the WHO ICD MSAC (Medical and scientific advisory committecommittee):
Implications on modeling and terming of existing content as part of the QI project need to be discussed and recommendations provided to the content team. Related SNOMED trackers: Modeling of secondary diseases artf6264-Complications - sequelae - secondary Concept model for secondary disorders artf6302-Review of Secondary X (disorder) concepts versus X associated with another disease | WHO ICD-11 guidance 2.3.5 ‘Due to’ and ‘With’ ‘Due to’ is the preferred term for categories where two conditions are mentioned and a causal sequence exists. Other terms, such as ‘caused by’ or ‘attributed to’ are allowable synonyms. The phrase ‘secondary to’ is equivalent and may also be included as a synonym. 'Associated with’ is the preferred term for categories where two conditions are mentioned and there is no causal sequence implied. There was also some work done in the Reference guide by the Morbidity Reference Group in partnership with Quality and Safety. Coding from health care practitioner documentation of “causal relationships” Sometimes conditions that have a causal relationship are clearly documented by the health care practitioner using terms such as “due to”, “caused by”, or “arising from”. These connecting terms indicate the health care practitioner has made a causal link between, for example, condition A due to condition B. However, sometimes conditions are documented with connecting terms that are ambiguous for the coder such as “with”, “after”, “in”, and “following”. When ambiguous terms are documented and it is not clear whether the health care practitioner means a causal inference or not, the clinical coder should code each condition separately and not link in a cluster. The clustering (postcoordination) is a particularly notable new feature in ICD11 that has permitted the introduction of powerful new clinical coding mechanisms for capturing clinical information in dimensions such as:
From October 2018 MSAC Minutes:
| RE: Neoplastic diseases: http://codes.iarc.fr/search.php?cx=009987501641899931167%3A2_7lsevqpdm&cof=FORID%3A9&ie=UTF-8&ie=ISO-8859-1&oe=ISO-8859-1&sa=&q=secondary. IARC sees secondary tumor or neoplasm as metastatic.
|
6 | Historical association refset | JRO | Revisit the intended meaning and operational consequences of the nine subflavours of 900000000000522004|Historical association reference set (foundation metadata concept)|
| ||
7 | Sources of truth | BGO |
|
| |
8 | Observables discussion | DKA | Discussion on what to do with existing, often ambiguously termed, observables. | ||
9 | Followup on clinical statement model project group | JCA | Summary of discussion from F2F meeting | Potential Actions
a. Identification of the specific issues.
a. Solicit feedback from the CoP. That will be our consultation process.
a. HL7 Clinical Statement model: (https://www.hl7.org/implement/standards/product_brief.cfm?product_id=40) | |
910 | Future meetings | JCA |