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
- Atomic components
- 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.
Date | Requested action | Requester(s) | Response required by: | Comments |
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Relevant documents
Actions
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Links
Country response
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Member countries without a CMAG rep |
CMAG response
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Final outcome:
Date: