Anatomy

1. Report of Semantic Findings
2. Report on Hierarchical Relationships
3. Final report of issues/solutions

1.2.&3 Completed 2016

SEP (Structure/Entire/Part) assignment

1. Resolve ambiguity between structure and the entire concept by developing a policy for naming convention and update existing content
   
   

1. Completed in Jan 2017 release - 9K descriptions inactivations and 3.6K new descriptions.

Laterality assignment

1. The development of Editorial guide for term convention and concept model for lateralized concepts.
2. Laterality refset to support RF2 to RF conversion, MRCM rule specification, and lateralisation of content in situation, finding, procedure hierarchies for post-coordination of laterality. Laterality refset update for new content and rectification of issues from feedback as business as usual task from July 2017 and onwards

1. Completed, 2016

2. Completed, Jan 2017

1. Draft of deliverables and resolution of the final report by the follow-up phase of the project.
   
   1. Examine inconsistencies of meaning in identically named categories/groups.
      
2. Remaining missing concepts to be added for completeness, mappings, and modeling.

1. & 2. - On Hold, July 2017 Dependant on funding and resource. Deliverables are now on hold pending collaboration decision (IFAA and FMA).

Review the position after implementation of concept model in 2020.

1. Develop SEP refset to facilitate concept modeling and quality control; This refset would be the result of resolving ambiguity between structure and the entire concept by developing a policy for assign preferred term and update existing content.
2. Add new Entire concepts: 5,000 – for July 2017 release depends on funding and approaches.

1. Completed, July 2017

2. Completed, July 2017

1. Development of inception and elaboration document for a comprehensive solution for supporting different use cases, in particular, advanced implementation.

Systematic naming

1. Align descriptions with FMA and other international standards to develop consistent basenames for anatomy.

1.On Hold, July 2017 -evaluating approaches. Deliverables are now on hold pending collaboration decision (IFAA and FMA).

Review the position after implementation of concept model in 2020.

IS-A and Part-of modeling

1. Review and refine anatomy concept modeling for the different part of relationships
2. Analyze the maturity of anatomy concept model by subject areas. Preparation of documentation on anatomy concept model and examples. The development will form the base for a beta release, testing, and quality assurance.
3. Update IS A relationship in production based on new concept model. The initial scope will be limited to skin structure and other subjects will be planned and will span several releases as the magnitude of changes runs in tens of thousands.
   

1.On Hold, TBD 2017 Deliverables are now on hold pending collaboration decision (IFAA and FMA).

Review the position after implementation of concept model in 2020.

2. In progress until 2020

3. Completed - Skin structure, added 329 new "is a " relationship "inactivated 136 redundant or incorrect "is a" relationship Jan 2018.

Sufficient definitions

1. Review and refine the anatomy concept model for sufficient definitions.
2. Implementation of anatomy concept model into the production of international release will have two key dependencies:
   1. Technical architect to support advanced description logic features. The logical profile needs to be supported by the technical specification for release and tooling
   2. Content development dependency on detailed modeling for IS-A and Part-of.

1.On Hold, deliverable dependencies, modeling re-design approaches are being investigated-TBD -2017. Progress made on 2.B but continues to 2018, remainder transferred to 2018.

1. Baseline changes that can support DL features ( impacts Drugs and Anatomy), testing and evaluation. These features are needed this year and next in order to make substantial progress.

1. Review and refine the anatomy concept model for sufficient definitions.
2. Implementation of anatomy concept model into the production of international release will have two key dependencies:
   1. Technical architect to support advanced description logic features. The DL logical profile needs to be supported by the technical specification for release and tooling.
   2. Content development dependency on detailed modeling for IS-A and Part-of.
      

1. In progress -Until 2020

2. Planned -To be implemented in 2020

1. Make 'part of' as defining an attribute for Entire concepts and refine the part of relationships by region, constitution, and system;
2. Remove 'part of' relationships from Structure concepts;
3. Remove the redundant inheritances. It will resolve the issues that technical team has to maintain part of relationship as a separate artifact. The refinement and alignment of part of relationships to other standards are out of scope. It needs consultation and documentation about the solution and potential impact on implementation. This requires DL support and can not be implemented until such time.
4. Analyze the maturity of anatomy concept model by subject areas. Preparation of documentation on anatomy concept model and examples. The development will form the base for a beta release, testing, and quality assurance.
   

1. Completed - New attributes have been added and the attribute 'part of' has been replaced by 'proper part of'.
2. Completed - all 'part of' relationships have been inactivated in the Jan 2019 release
3. Completed - the task is no longer needed because all part of relationships have been inactivated.
4. In progress - Until 2020

1. Completed - Revision for the musculoskeletal system has been completed and released in Jan 2019.

The rest body systems are planned in 2019 item 1.

1. There are dependencies on Tooling functionality which will require a considerable amount of time for DL changes as well as classification changes in order to proceed with required Anatomy changes.

1. Completed - GCIs and property axioms have been implemented in the tooling.

1. Resolve dependencies on the DL profile
2. With FMA stalled and the standard not formalized, we need to ensure that our concept model follows the essential elements of good anatomy structure. Time will be spent evaluating clinical needs to enhance our model and not have the FMA as a constraint and we will look at alignment in the future.

1. Completed - DL profile enhancements are approved
2. Concept - Model implementation is transferred to 2020 item 1

Revision of IS A relationships by body systems for anatomy content based on the new concept model. Detail can be found at Progress of IS A revision

1. Anatomy IS A relationship review - 2,400
2. Update IS A relationships in PROD - 2,400
3. Review and address impact to other hierarchies - 10,000 (medical knowledge and SNOMED CT knowledge)
4. Develop Editorial Guide for Body Systems

2019 July,

2020 Jan

Review and refine the anatomy concept model for sufficient definitions.

The implementation of the new anatomy concept model to ensure the generated hierarchical relationships are aligned with the outcomes from the IS A revision.

1. Implement part of modeling
2. Implement enhanced DL features in the model, e.g. sufficient definitions