Time:

0900 - 1230 BST

0800 - 1130 UTC

Zoom Meeting Details

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

Topic: SNOMED EAG Face to face meeting London
Time: Apr 16, 2024 09:00 London

Join from PC, Mac, Linux, iOS or Android:
https://snomed.zoom.us/j/89827589410?pwd=nPOQj9SzZnrFpeA5lsIov90Lvt22Og.1
Password: 848732

Attendees

Chair:

Jim Case

AG Members:

Invitees:

Victor Medina

Peter G. Williams

Daniel Karlsson

Observers

Apologies:

Meeting Files:

Meeting minutes:

The call recording is located here.

Objectives

Obtain consensus on agenda items

Discussion items

Item	Description	Owner	Notes	Action
1	Call to order and role call	Jim Case	This meeting is being recorded to ensure that important discussion points are not missed in the minutes. The recording will be available to the SNOMED International community. Joining the meeting by accepting the Zoom prompt declares that you have no objection to your comments being recorded	Recording of meeting approved by participants.
2	Conflicts of interest and agenda review	Jim Case	None recorded
3	EAG item status since October 2023	Jim Case	Here is the status of items brought to the EAG since October 2023: Modeling of "No known X" - Ongoing. revision of Context values has not progressed. Consensus on approach not yet reached Transplantation vs. grafting and Terming of Transplantation concepts - solid tumors have been remodeled, grafts and tissue transplantation are in progress Mechanical complication of device - Inactivation of grouper concepts, as recommended by the EAG is underway Evaluation procedures to Observable Entity - Based on community feedback, this proposal has been retracted. Evaluation procedures will remain, although new laboratory evaluation procedures will not be added. Replacement of "Surgical approach" with "Procedure approach - in testing for impact analysis MRCM change and revision of Physical object hierarchy - request for access to a non-promotable project in the SNOMED authoring platform is in process Updating of Neuroendocrine tumors. Part of Histology update project - work completed Inactivation of "Role groupers" from substances and products - based on community feedback, this proposal has been retracted. Inactivation of newly constructed Product role groupers is out for community comment Adverse reaction usage - Concepts that have a CAUSATIVE AGENT value from the 373873005 \|Pharmaceutical / biologic product (product)\| hierarchy have been remodeled and promoted. A spreadsheet with concepts using CAUSATIVE AGENT values from the substance hierarchy has been circulated for EAG review Inactivation of 370115009 \|Special concept (special concept)\| - Had been on hold pending focused input. Briefing note has been prepared. Creation of new top level hierarchy for Generic products - proposal in development Inactivation reason review - Bypass graft revision proposal - document under review by the EAG
	Bypass graft revision proposal	Victor Medina Jim Case	As part of the QI project, substantial changes to the representation of bypass grafts and shunts have been proposed. A briefing note (attached) and a detailed document for the proposed changes (referenced in the briefing note) are provided. Discussion: 2024-03-11 How are bypass concepts without definition of proximal and distal targets going to be modeled? A: Need review. How are proximal and distal defined? A: It is based on either anatomic position or flow of contents. Definitions for proximal and distal anastomosis will be provided. Concern about creating intermediate primitives as this complicates the assignment of parents. Also need to make sure the definitions are clear. Where do "-stomy" concepts fit into this proposed model. Decision: 2024-03-11 Comments will be added to the document by the EAG members.
	Remodeling of 1263452006 \|Anesthesia and/or sedation procedure (procedure)\| hierarchy	Victor Medina Jim Case	The current concepts 1263452006 \|Anesthesia and/or sedation procedure (procedure)\| and 410011004 \|Administration of anesthesia AND/OR sedation (procedure)\| are disjunctive groupers. The attached document provides details on proposed changes to this hierarchy that improves the modeling and specificity of anesthetic and sedation procedures. The proposed changes have been reviewed and accepted by the Anesthesia CRG. Key elements include: Inclusion of a HAS INTENT relationship to specify the nature of the anesthesia or sedation (e.g. local, regional, general) Inactivation of "anesthesia for X" type concepts Remodeling concepts to adhere to templates Discussion: Decision:
9	AOB	EAG
10	Next meeting	Jim Case	May 27, 2024

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2024-04-16 SNOMED Editorial Advisory Group Face to Face Meeting