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Summary

Please see the attached briefing note.

Actions: 

Date

Requested action

Requester(s)

Response required by:

Comments

17 August 2021Feedback response
  • Camilla Wiberg Danielsen  Intent based endoscopy procedure inactivation feedback
  • Anna Harasim   Intent based endoscopy procedure inactivation feedback 
  • Elze de Groot  Intent based endoscopy procedure inactivation feedback  
  • Linda Parisien  Intent based endoscopy procedure inactivation feedback  
  • Päivi Piirainen  Intent based endoscopy procedure inactivation feedback  
  • Olivier Bodenreider  Intent based endoscopy procedure inactivation feedback 
  • Jostein Ven  Intent based endoscopy procedure inactivation feedback  
  • Theresa Barry  Intent based endoscopy procedure inactivation feedback 
  • Elizabeth Tanya Antoun  Intent based endoscopy procedure inactivation feedback 
  • Katrien Scheerlinck  Intent based endoscopy procedure inactivation feedback 
  • Eugene Viacrucis  Intent based endoscopy procedure inactivation feedback 
Please post your final responses in the Country response table below. Discussion comments can be made as comments. Please also tick the box next to your name when completed. 

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Country response 


CountryDateResponse
US17AUG2021

Summary: No objection to removing the intent from "diagnostic endoscopy" codes.

Analysis: There is evidence of some "diagnostic endoscopy" codes in some value sets from the Value Set Authority Center (VSAC).

For example:

232516003 Diagnostic endoscopy of nose and sinuses (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
363071007 Diagnostic endoscopy (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
387718007 Diagnostic endoscopy of ureter (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
448121001 Diagnostic endoscopy of lower bowel using fiberoptic sigmoidoscope (procedure)

However, this broad value set (2.16.840.1.113883.3.88.12.80.28) seems to contain all 59k procedures and does not represent specific use of these concepts.


There are also "diagnostic endoscopy" codes in the value set Specimen Collection Method (2.16.840.1.113762.1.4.1062.5), including:

176178006 Diagnostic cystoscopy (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
287571005 Diagnostic bronchial aspiration (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96

In this case, the "diagnostic" aspect does not seem essential to the specimen collection process.


Finally, procedures other than endoscopy are sometimes reflective of an intent, e.g.:

236954006 Diagnostic amniocentesis with fluid replacement (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
265634005 Diagnostic percutaneous examination of fetus (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
265635006 Diagnostic amniocentesis (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
443005005 Diagnostic amniocentesis using ultrasound guidance (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96

Should these be reviewed as well in a subsequent round of QA to remove intent from procedures?


Belgium23AUG2021Inactivition (and replacing) of the concepts including the intention of colonoscopy procedures (diagnostic/therapeutic) will not affect the Belgian release at this point in time.
Sweden13SEPT2021
Australia13SEPT2021

There are no content or implementation issues on the Australian side arising from this proposed amendment to the modelling. We do note that we have several AU concepts that will be affected and this will be addressed from our side.

Some of the affected concepts do appear in some of our third party reference sets. We will update the owners of the refsets once these changes are implemented.

The proposed change does not affect any NCTS FHIR value set definitions.













Member countries without a CMAG rep


CMAG response

DateCMAG ResponseNext steps










Final outcome: 

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