Clinical Core_CMAG input on content for inclusion

Summary

The 2020-2025 SNOMED International draft strategy includes the proposal for the current content in the International Edition to segmented into 2 components:

• A clinical core of priority use clinically validated content that can be globally used in an unambiguous manner. 
  • The proposal notes this content would be actively maintained.
• Existing International Edition content that is not part of the core. 
  • The proposal notes this content would be passively maintained. 

CMAG has been asked to provide input on what content should be considered for inclusion in the Clinical Core.

Notes:

• Aim of this work is to provide member input on which areas of content should be the focus for the quality work. 
• Content not in the Clinical Core is not going away.
• Content in core may change over time (dynamic).    
• How this segmentation would be undertaken has not been determined and is out of scope for this discussion.
  
  

Some points to start the discussion: 

• Which hierarchies/ sub-hierarchies should be part of the clinical core?
  • Findings, Disorders, Procedures
  • Foundational hierarchies e.g. Body structure, Observables
  • Qualifier values e.g. Action values, Colours etc...
  • Events, Record artifact, Staging and scales?
• What types of content should be part of the clinical core?
  • Atomic components
    • Examples: Myocardial infarction, Internal fixation of femur
  • Compound content e.g. X with Y, X without Y, X due to Y etc.
    • Examples: Anemia caused by heat, Stroke co-occurrent with migraine, Cholecystectomy and operative cholangiogram
  • Content with context
    • Examples:  Nausea present, No pain, History of burn,  Colonoscopy planned
    • Relates to someone other than the subject of the record e.g. Mother smokes, Family history of neoplasm 
  • Concepts used to define other concepts - Target values for concepts
    • Is this just within the clinical core and/or other editions
  • Lateralised content
  • • If femoral hernia is actively maintained, is there a need to actively maintain Left/Right femoral hernia?
  • Severity
    
    • Examples: Severe pain, Severe depression
• Content with intellectual property considerations
• Administrative content
  • Statuses, Procedures
• Content to support alignment with other Terminologies, Classifications and Standards
  • What if the meaning doesn't align with SNOMED Editorial Guidelines?
• Grouping concepts e.g. Procedure by body site, Disorder of lung 

Working sheet: https://docs.google.com/spreadsheets/d/1qv3aB1TVXRCuzkb-xGY-xwhW7nLGlQAIdrVQBylWad0/edit?usp=sharing - still in development.

Relevant documents

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Links

Country response 

CMAG response

Final outcome: 

Date: