Date: 2018-10-16
1600 - 2400 UTC
0900-1700 PDT
1200-2000 EDT
1300-2100 Argentina time
Zoom Meeting Details
SNOMED Int'l Editorial Advisory group
Please join my meeting from your computer, tablet or smartphone:
Topic: SNOMED Editorial Advisory Group Face to Face Meeting
Time: Oct 16, 2018 1600 UTC
Join from PC, Mac, Linux, iOS or Android:
https://snomed.zoom.us/j/313576416
Attendees
Chair:
AG Members
- Guillermo Reynoso
- Paul Amos - ex officio
- Jeremy Rogers
- Jeffrey Pierson
- Keith Campbell
- Daniel Karlsson
- Bruce Goldberg
- Toni Morrison
Observers:
Apologies
Meeting recording
The folder containing the meeting recordings is located ____
The recording for this meeting is located ___
Objectives
- Obtain consensus on agenda items
Discussion items
Item | Description | Owner | Notes | Discussion | Action |
---|---|---|---|---|---|
1 | Call to order and role call | JCA | |||
2 | Conflicts of interest Notice of recording | JCA | GRE - Contractor to SI, Principal in TermMed | ||
ECE Update | BGO |
| |||
Allergy and Intolerance update | BGO |
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Secondary diseases | JCA | There are a large number of disorder concepts that refer to "Secondary" or "Secondary to". A query was sent to the WHO ICD MSAC (Medical and scientific advisory committe):
Implications on modeling and terming of existing content as part of the QI project need to be discussed and recommendations provided to the content team. Related SNOMED trackers: Modeling of secondary diseases artf6264-Complications - sequelae - secondary Concept model for secondary disorders artf6302-Review of Secondary X (disorder) concepts versus X associated with another disease | WHO ICD-11 guidance 2.3.5 ‘Due to’ and ‘With’ ‘Due to’ is the preferred term for categories where two conditions are mentioned and a causal sequence exists. Other terms, such as ‘caused by’ or ‘attributed to’ are allowable synonyms. The phrase ‘secondary to’ is equivalent and may also be included as a synonym. 'Associated with’ is the preferred term for categories where two conditions are mentioned and there is no causal sequence implied. There was also some work done in the Reference guide by the Morbidity Reference Group in partnership with Quality and Safety. Coding from health care practitioner documentation of “causal relationships” Sometimes conditions that have a causal relationship are clearly documented by the health care practitioner using terms such as “due to”, “caused by”, or “arising from”. These connecting terms indicate the health care practitioner has made a causal link between, for example, condition A due to condition B. However, sometimes conditions are documented with connecting terms that are ambiguous for the coder such as “with”, “after”, “in”, and “following”. When ambiguous terms are documented and it is not clear whether the health care practitioner means a causal inference or not, the clinical coder should code each condition separately and not link in a cluster. The clustering (postcoordination) is a particularly notable new feature in ICD11 that has permitted the introduction of powerful new clinical coding mechanisms for capturing clinical information in dimensions such as:
From October 2018 MSAC Minutes:
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Historical association refset | JRO | Revisit the intended meaning and operational consequences of the nine subflavours of 900000000000522004|Historical association reference set (foundation metadata concept)|
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Sources of truth | BGO |
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Followup on clinical statement model project group | JCA | Summary of discussion from F2F meeting | Potential Actions
a. Identification of the specific issues.
a. Solicit feedback from the CoP. That will be our consultation process.
a. HL7 Clinical Statement model: (https://www.hl7.org/implement/standards/product_brief.cfm?product_id=40) | ||
Future meetings | JCA |