- Andrew Norton
- Andrew Marchant
- Patrick McCormick
- Toni Morrison
- Monica Harry
- Steven Dain
- Maria Hendrickson
- Martin Hurrell
- Jorge Galvez
- Bruce Goldberg
- Karl Poterack
- Stuart Abbott
- Zac Whitewood-Moores
- Heidi Hughes
- Terri Monk
- Daniel Karlsson
- Suzanne Santamaria
- John Walsh
- Maurice McKinney
- Curtis Tinsley
- Anthony Madden
- Jane Millar
- David Truncer
Conference Call Details
Meeting time is 2018-07-31 20:00 UK BST; 15:00 US EDT (1900 UTC)
Join from PC, Mac, Linux, iOS or Android: https://snomed.zoom.us/j/375878829
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Meeting ID: 375 878 829
More international numbers available: https://zoom.us/u/cYTPCEKj8
|1||Introductions and apologies||Andrew Norton||Apologies: Steven Dain|
|2||Minutes of meeting April 2018||Andrew Marchant||Minutes of 2018-04-08 to 2018-04-10 Anesthesia CRG F2F Meeting||Reviewed and approved|
|3||Matters arising from the minutes|
Content Request System - see item 5.
New terms (for cricothyrotomy &c) are pending release.
|4||Notification from Confluence|
Permissions for notification from Confluence.
Watching Confluence pages
JM notes that GDPR regulations have prevented people from receiving notifications and caused confusion - all users should opt to "Watch", and subsequently "Watch all content in this space", their CRG's page so that they can be contacted.
|Review group membership who have responded to notification e-mails|
Jane Millar suggests that the group share an account for Content Requests, and that we may now as a group use the account that Andrew Norton has been using. However, we may find that we need to use individual accounts so that changes are attributable.
New CRGs are being formed, e.g. Nutrition, Genomics, Mental Health, Blood Products. These will develop over future months. Anesthesia CRG members can "Watch" any other group which interests them. Cross-working and cooperation between groups will be encouraged.
SNOMED are looking to work with other bodies which have an international profile so that there is broader input to SNOMED terms. All suggestions to Jane Millar are welcome.
Anesthesia may be interested in the Medical Devices CRG, and may have useful input into area - which is changing rapidly in association with GMDN. SNOMED will continue to maintain its own nomenclature; it need not be tied to the detail of GMDN if there are better ways of representing concepts.
SNOMED 0n FHIR. This group meets weekly and may seek clinical perspective on their work from the CRGs. Interested members may request to join.
|Item for SNOMED International Newsletter||Anesthesia could prepare a document drawing from old SIG information and some items of current interest. The target is for a short/ punchy/ readable entry.|
Deadline for submission 22nd September 2018
Andrew Norton, Martin Hurrell to discuss.
|7||Breathing systems||Steven Dain|
Historically named as breathing circuits. ISO now uses the term breathing systems. Consider updates to SNOMED
Andrew Norton to request that synonyms for the various circuits/ systems are created in SNOMED.
Review ISO ventilation types at next meeting.
|8||Terminology for Artificial ventilation||Steven Dain|
See attached file from Steven detailing ISO standard terminology for ventilation patterns and settings
ISO 19223 / ISO/IEEE 11073 definitions of ventilation modes exist. We should seek to represent these in SNOMED and add definitions as appropriate from the standards
|Attributes of modes and inflation types 2018-06-24.docx|
|9||Preservative free morphine and other preparations for neuraxial blocks||Toni Morrison|
For this particular request, we would like to have specific examples of concepts that would be modeled using the new product concept to use as part of our drug project group discussions re: modeling and terming for the requested concept.
We would also like to clarify if there are additional products that will require similar concepts (e.g. methotrexate or local anesthestics such as bupivicaine) and if so, have examples of concepts that will be modeled using the new product concepts.
Preservative-free Morphine is available for use in the UK, avoiding the use of agents such as Sodium Metabisulphate. Intrathecal chemotherapy preparations have no preservatives. Epinephrine-containing preparations require preservatives but these are not used intrathecally. The preservative-free status of the drug may be best represented in a UK-specific extension, discussion is ongoing.
Epidural preparations are more varied, and areas other than anaesthesia use a variety of drugs beyond those used in anaesthesia. Our discussion has focused on Anaesthesia.
Group to review again, and discuss with Toni Morrison.
|10||New terminology requirements arising from HL7 GAS Anesthesia Domain analysis model|
|11||Any other business||None raised|
|12||Dates for future meetings||Tuesday 25th September||Agreed as next meeting date|