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

Attendees

Chair:

Jim Case

AG Members

Invitees:

Daniel Karlsson

Toni Morrison

Observers

Apologies:

Meeting Files:

Meeting minutes:

The call recording is located here.

The edited transcript is located here.

Objectives

Obtain consensus on agenda items

Discussion items

Item	Description	Owner	Notes
1	Call to order and role call	Jim Case	Start recording!
2	Conflicts of interest and agenda review	Jim Case
3	Diet findings vs. Diet regimes	Jim Case Jeremy Rogers	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:
4	Replacement of substance with Product in Adverse reactions	Toni Morrison Jim Case	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 ≈1500-2000 concepts. Discussion:
5	Evaluation procedures vs. Observable entity	Daniel Karlsson	Propose way forward to address the apparent duplication between these two hierarchies: How to handle panels/batteries Order vs. result Discussion:
6	Technique hierarchy issues	Daniel 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:
7	Additional description types	Jim 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:
8	ECE Update	Bruce 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 20200205 Disorder Combination grid_2BJG.xlsx Injuries.pptx Procedure complications.pptx Discussion:
9	Concept inactivation project group	Paul Amos	Update from work group Discussion:
10	Morphology (disorder) concepts	Jim Case	SNOMED CT currently has a large number of disorder concepts that solely represent morphologies. E.g. 416462003 \|Wound (disorder)\|; 416439000 \|Lipogranuloma (disorder)\|). While all of these are SD by simply using DIsease + morphology, other than as grouping concepts, are these valuable clinical terms. With the advent of ECL it is a simple query to identify all concepts that fit into these morphologies. What should be the editorial guidance for the creation/maintenance of these terms?
11	Next meeting	EAG	April business meeting in London

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2020-02-26 Editorial Advisory Group Conference call