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Date

2020-02-26

Time:

1800 UTC

1000 PST

Zoom Meeting Details

Topic: SNOMED EAG Conference Call
Time: Feb 26, 2020 10:00 AM Pacific Time (US and Canada)

Join from PC, Mac, Linux, iOS or Android: 
https://snomed.zoom.us/j/3306923098



Meeting Files:


Meeting minutes:

The call recording is located here.

The edited transcript is located here.

Objectives

  • Obtain consensus on agenda items

Discussion items

ItemDescriptionOwnerNotesAction
1Call to order and role call

Start recording!

 

2Conflicts of interest and agenda review
 
3Diet findings vs. Diet regimes

A proposal to replace many of the diet finding terms (e.g. high fat diet) with regime/therapy concepts has run into an obstacle with the current usage within the UKTC where these terms originated. In consultation with the UKTC, it has been proposed that we:

  • continue with the addition of valid diet regimes (current diet findings are being reviewed for validity
  • inactivate and replace diet findings with more precise terming (e.g. Follows X diet regime (finding)) to allow for graceful evolution and traceability

Discussion:


4Replacement of substance with Product in Adverse reactions

A question regarding "Adverse reaction" CAUSATIVE AGENT. The work group has determined that these concepts should have the CAUSATIVE AGENT replaced with "Product" concepts. Is this a substantive change that requires inactivation and replacement? Estimated number of concepts =

Discussion:


5Evaluation procedures vs. Observable entityDaniel Karlsson

Propose way forward to address the apparent duplication between these two hierarchies:

  • How to handle panels/batteries
  • Order vs. result

Discussion:


6Technique hierarchy issuesDaniel Karlsson

Evaluation procedures with an observation technique (e.g. ELISA) are often primitives with a few distinct techniques in the 129264002 | Action (qualifier value) | hierarchy (particularly the Imaging – actions). Observable entity has a technique attribute whereas evaluation procedures have none (with an overlap with some actions). Moving eval procedures to observables would possibly require being explicit about the technique.

Discussion:


7Additional description typesJim Case

As discussed in KL. Need a list of proposed description types to send to tech services for implementation. Guidance on use will need to be developed. Current use cases to consider are:

  • near synonyms - these can be either "broader than" terms or non-semantically equivalent but related terms (e.g. vaccination (procedure) vs. immunization (a process following vaccination or administration of immunoglobulin)
  • hypernyms
  • search terms - colloquial terms
  • "Patient-friendly" or consumer terminology
  • abbreviations/truncation

Issues within our current synonyms was identified in an AMIA paper in 2003:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1480077/pdf/amia2003_0949.pdf

Discussion:


8ECE UpdateBruce Goldberg
  • Injury model
    • Proposed model for injuries that are unspecified as to being traumatic or nontraumatic and can be either
    • Revisit complication model for disorders due to procedures
  1. 20200205 Disorder Combination grid_2BJG.xlsx
  2. Injuries.pptx
  3. Procedure complications.pptx

Discussion:


9Concept inactivation project groupPaul Amos

Update from work group

Discussion:


10Next meetingEAGApril business meeting in London 

 

 

 

 

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