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Date: 2021-02-24

Time:

1830- 2000 UTC

1030-1200 PDT

Zoom Meeting Details

Hi there,

Jim Case is inviting you to a scheduled SNOMED International Zoom meeting.

Topic: SNOMED Editorial Advisory Group Conference Call
Time: This is a recurring meeting Meet anytime

Join from PC, Mac, Linux, iOS or Android:
https://snomed.zoom.us/j/99997961770?pwd=TWRiclpVeTU3RG1kUE1lTWNkVFBCZz09
Password: 287392

Meeting ID: 999 9796 1770

Password: 287392
International numbers available: https://snomed.zoom.us/u/abTbQn2e26

Or Skype for Business (Lync):
https://snomed.zoom.us/skype/99997961770


Meeting Files:


Meeting minutes:

The call recording is located here.


Objectives

  • Obtain consensus on agenda items

Discussion items

ItemDescriptionOwnerNotesAction
1Call to order and role call

Start recording!


2

Conflicts of interest and agenda review


No conflicts noted




FSN naming for "Pathologic neoplastic fractures"Jim Case

Search of the literature yielded very few references with a consensus naming for this type of fracture.  Search terms included:

  • "Neoplastic fracture"
  • "Neoplastic pathologic fracture"
  • "Metastatic fracture" 

As was agreed, these are not fractures DUE TO the neoplastic disease and have been modeled as co-occurrent. As there is no consensus naming for these, potential terming includes:

  • "Fracture of X with neoplastic disease"
  • "Fracture of X in neoplastic disease"
  • "Fracture of X co-occurrent with neoplastic disease"
  • "Neoplastic disease with pathologic fracture of X"
  • "Neoplastic fracture of X"
  • Other...


Concept Inactivation update and proposals


Glascow coma score and assessment scale components

Based on a discussion at the Anesthesia CRG and Observables Project there is a requirement to add more content for Glasgow Coma Scale

Please see full discussion here: https://confluence.ihtsdotools.org/display/ACRGT/Glasgow+Coma+Score

Presentation included with this agenda item suggesting common observables definitions.

References to Standarization of the GCS:

https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020EN)

https://ckm.openehr.org/ckm/archetypes/1013.1.137/printable

https://www.glasgowcomascale.org/

Draft document from Anesthesia CRG: https://drive.google.com/file/d/1lZJlarREeIIRPk5E1zVtZUktLQlPH3G5/view?usp=sharing

Discussions within Observables Project Group and and review of assessment scores deployed at Nebraska have proceeded with extended proposal for inclusion of assessment scales in use in Sweden as well as US.   

Modelling proposal added to Attachment s summarizing Assessment Scale Score Observables development: Clinical Scale Scores_20210224.pptx.  Proposal promotes expanding content model for full definition of scales such as co-morbidity, Glasgow Coma Scale and SOFA scores.

Anesthesia CRG wishes to explore further the best model for including definitions/explanations of Ordinal Scale score Value sets used in calculated scores.


  • James R. Campbell and Andrew Norton to provide example of observables for assessment scales
  • EAG to review document for examples of findings that clinicians would like to see

ECE TopicsBruce Goldberg
  • Additional considerations for disorder association modeling
  • Updated model for contact dermatitis

Evaluation to Observables (E2O project) update

Daniel Karlsson@James Campbell

  • Proposal for transfer of concepts from <<Evaluation Procedures to Observable entities under going model development in Protege for Phase 1 (Lab testing procedures) in order to test hierarchy build and revisions.


Congenital aplasia modeling reduxJim Case

Issues observed with inferences based on the original proposal have arisen that require a revised modeling pattern.  Discussion located at: 

Re: Proposed remodeling of Congenital absence concepts - For discussion (revised)



Next meetingEAG

March 24, 2021













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