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EDQM updates (Source) - July 2022 to September 2023

Inactivations in EDQM

#CodeTermStatusDEUSG Action / Plan
113136000 Gastro-resistant powder for oral suspensionNot ReferencedNo action required
ui210609000 Eye drops, prolonged-releaseNot ReferencedNo action required
350056000 Prolonged-release granules for oral suspensionNot ReferencedNo action required
450026000 Gastro-resistant granules for oral suspensionNot ReferencedNo action required
510307000 Oromucosal dropsNot ReferencedNo action required
650036000 Modified-release granules for oral suspensionNot ReferencedNo action required


New codes in EDQM (1st review by the content Team)

#

Code

Term

Status

Content team evaluation

Products that use this form

Expert feedback

Action / Plan

113179000Granules for modified-release oral suspensionNot Referenced



213184000Powder for solution for provocation testNot ReferencedNot in scope

Julie M. James has too much specificity about the use, which is out of scope for SNOMED PDF

No action required
313168000Oromucosal drops, solutionNot Referenced



413169000Oromucosal drops, suspensionNot Referenced



513177000Granules for gastro-resistant oral suspensionNot Referenced



613165000Suspension for gelNot Referenced



713178000Powder for gastro-resistant oral suspensionNot Referenced



813162000Concentrate for cutaneous emulsionNot Referenced



913180000Granules for prolonged-release oral suspensionNot Referenced



1013159000Eye drops, prolonged-release solutionNot Referenced



1113175000Prolonged-release chewable tabletNot Referenced



1213176000Powder for prolonged-release oral suspensionNot Referenced



1313167000Oromucosal drops, emulsionNot Referenced



SNOMED Updates (Target) - July 2022 to September 2023

Inactivations in SNOMED CT (Select map targets if available)

#

ConceptId

Term

Status

Action / Plan

Discussion

1

840651000

 Conventional release chewable capsule (dose form) Not Referenced

See https://request.ihtsdotools.org/#/requests/preview/766062?fromList=true request from  François Macary 

Hi François,

The existing Pharmaceutical dose form concept and the associated Clinical drug concept modeled using it have been inactivated and replaced because the requested changes for the Basic dose form would alter the meaning of the concepts.

The addition of an additional Administration method will be addressed at a later date; it is a change that needs to be done systematically for all affected concepts and also requires additional testing and perhaps a concept model change.

Kind regards,
Toni

2

421873001

 Conventional release oral cream (dose form) Not Referenced
Looking in browser the inactivation target is 1217290000 |Conventional release oromucosal cream (dose form)|. Can see this was added based on a request from  François Macary referencing EDQM PDF mapping; e-prescribe; e-dispense: https://request.ihtsdotools.org/#/requests/preview/767928?fromList=true
3

783749008

 Conventional release oral ointment (dose form) Not Referenced
Inactivation target is 1217289009 |Conventional release oromucosal ointment (dose form)| that was added based on a request from  François Macary referencing EDQM PDF mapping; e-prescribe; e-dispense: https://request.ihtsdotools.org/#/requests/preview/767927?fromList=true
4

1231841006

 Porous impregnated material for conventional release vapor inhalation (dose form) ReferencedPending

Mapped to EDQM: 50033100    Inhalation vapour, impregnated plug

Historical associations to active concepts:

  • 1269278009 |Porous impregnated material for conventional release pulmonary vapor inhalation (dose form)|
  • 1269279001 |Porous impregnated material for conventional release oromucosal vapor inhalation (dose form)|

Christopher Jarvis Inhalation implies pulmonary, favors replacing by 1269278009 |Porous impregnated material for conventional release pulmonary vapor inhalation (dose form)| EDQM Interested in understanding the product with more detail.

Ian Spiers The source materials defined that there was oromucosal use in nicotine cartridges. Original request from Sweden. https://www.medicines.org.uk/emc/product/4707/smpc#gref "Nicorette 15mg Inhalator: inhalation cartridge for oromucosal use"

Nicola Ingram Request was from Ireland SPC http://www.hpra.ie/img/uploaded/swedocuments/Licence_PA0330-037-010_31072023145601.pdf  page 3 "The patient may find deep drawing or short sucks on the mouthpiece most effective – patients soon find a favoured technique. Nicotine vapour passing through the mouth is absorbed by the buccal mucosa: little reaches the lungs." Problem was that 1231841006 |Porous impregnated material for conventional release vapor inhalation (dose form)| was pulmonary dose form. Inactivation reason for  Porous impregnated material for conventional release vapor inhalation (dose form) may be incorrect (did not add corresponding clinical drug as failed release validation check). 

Julie M. James respiratory track does not include oromucosal.

Guillermo Reynoso why is the inactivation reason Outdated? Maybe an option is to maintain the more general concept and add the new ones as children

5

784575004

 Conventional release oral spray (dose form) Not Referenced

Unsure why Toni inactivated but new concept requested by François Macary 1229934008 |Conventional release emulsion for oromucosal spray (dose form)|

https://request.ihtsdotools.org/#/requests/preview/769485?fromList=true

6

784576003

 Prolonged-release intrauterine drug delivery system (dose form) Not Referenced

https://request.ihtsdotools.org/#/requests/preview/769521?fromList=true request from  François Macary 

Hi François,

Due to the types of changes being requested, the existing concept will be inactivated and replaced with a new concept instead of being updated.

Kind regards,
Toni


New concepts in SNOMED CT (Candidates for creating new maps)

#

ConceptId

term

Status

Source

Action / Plan

1

1237270004

 Concentrate for conventional release solution for peritoneal dialysis (dose form)  Not Referenced

Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

https://request.ihtsdotools.org/#/requests/preview/770954?fromList=true


2

1287605002

 Conventional release solution for intraperitoneal instillation (dose form)  Not Referenced

https://request.ihtsdotools.org/#/requests/preview/776647?fromList=true 

https://www.hpra.ie/img/uploaded/swedocuments/Licence_PA22637-005-001_12062019164057.pdf


3

1231815000

 Conventional release oral or pulmonary solution (dose form)  Not Referenced

Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

https://request.ihtsdotools.org/#/requests/preview/764561?fromList=true


4

1237318003

 Concentrate for conventional release emulsion for cutaneous spray (dose form)  Referenced
No action required
5

1255299001

 Tablet for conventional release oromucosal solution for mouthwash (dose form)  Referenced
No action required
6

1237310005

 Concentrate for conventional release oromucosal solution for gargle (dose form)  Referenced
No action required
7

1255234008

 Conventional release suspension for infusion and/or injection (dose form)  Not ReferencedProbably added by Toni as part of project adding 'infusion and/or injection' groupers.
8

1237287002

 Concentrate for conventional release cutaneous solution (dose form)  Referenced
No action required
9

1237289004

 Concentrate for conventional release oromucosal solution (dose form)  Referenced
No action required
10

1231816004

 Conventional release intravesical or parenteral or urethral solution (dose form)  Not Referenced

Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

https://request.ihtsdotools.org/#/requests/preview/764560?fromList=true


11

1237073006

 Prolonged-release intrauterine delivery system (dose form)  Referenced
No action required
12

1237274008

 Concentrate for conventional release dispersion for infusion and/or injection (dose form)  Not ReferencedProbably added by Toni as part of project adding 'infusion and/or injection' groupers.
13

1237285005

 Concentrate for conventional release emulsion for infusion and/or injection (dose form)  Not ReferencedProbably added by Toni as part of project adding 'infusion and/or injection' groupers.
14

1237267003

 Concentrate for conventional release solution for infusion (dose form)  Referenced
No action required
15

1237263004

 Concentrate for conventional release suspension for injection (dose form)  Referenced
No action required
16

1237288007

 Concentrate for conventional release intravesical solution (dose form)  Referenced
No action required
17

1237264005

 Concentrate for conventional release oral suspension (dose form)  Referenced
No action required
18

1269279001

 Porous impregnated material for conventional release oromucosal vapor inhalation (dose form)  Not ReferencedSee above SNOMED updates
19

1237284009

 Concentrate for conventional release emulsion for infusion (dose form)  Referenced
No action required
20

1237266007

 Concentrate for conventional release rectal solution (dose form)  Not Referenced

Request from François Macary referencing EDQM:

https://request.ihtsdotools.org/#/requests/preview/770948?fromList=true


21

1237271000

 Concentrate for conventional release dispersion for injection (dose form)  Referenced
No action required
22

1237293005

 Concentrate for conventional release solution for nebulizer (dose form)  Referenced
No action required
23

1237265006

 Concentrate for conventional release oral solution (dose form)  Referenced
No action required
24

1255346009

 Conventional release intestinal gel (dose form)  Referenced
No action required
25

1237273002

 Concentrate for conventional release dispersion for infusion (dose form)  Referenced
No action required
26

1237286006

 Concentrate for conventional release emulsion for injection (dose form)  Referenced
No action required
27

1237291007

 Concentrate for conventional release solution for intraocular irrigation (dose form)  Referenced
No action required
28

1269278009

 Porous impregnated material for conventional release pulmonary vapor inhalation (dose form)  Not ReferencedSee above SNOMED updates
29

1237269000

 Concentrate for conventional release solution for infusion and/or injection (dose form)  Not ReferencedProbably added by Toni as part of project adding 'infusion and/or injection' groupers.
30

1255237001

 Lyophilized powder for conventional release solution for infusion and/or injection (dose form)  Not ReferencedOriginal lyophilized dose form request: https://request.ihtsdotools.org/#/requests/preview/725602?fromList=true probably added by Toni as part of project adding  infusion and/or injection groupers.
31

1237290008

 Concentrate for conventional release oral or rectal solution (dose form)  Referenced
No action required
32

1237275009

 Concentrate for conventional release solution for hemodialysis (dose form)  Referenced
No action required
33

1237268008

 Concentrate for conventional release solution for injection (dose form)  Referenced
No action required
34

1255338008

 Conventional release chewable soft capsule (dose form)  Referenced
No action required
35

1279737007

 Prolonged-release solution for eye drops (dose form)  Not Referenced

Request from Alejandro referencing EDQM map:

https://request.ihtsdotools.org/#/requests/preview/776391?fromList=true



36

1255347000

 Intestinal dose form (dose form)  Not ReferencedAdded in 2022 has one descendant 1255346009 |Conventional release intestinal gel (dose form)| that is a request from Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping and 2022-06-20 EDQM to SNOMED Dose Form Map call) https://request.ihtsdotools.org/#/requests/preview/770417?fromList=true
37

1231817008

 Powder for conventional release intravesical or parenteral or urethral solution (dose form)  Not Referenced

Request from François Macary referencing EDQM PDF: https://request.ihtsdotools.org/#/requests/preview/764559?fromList=true



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