Eye Care Clinical Reference Group

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Eye Care Clinical Reference Group 

Date

August 21, 2023

Attendees

Apologies

Discussion items

ItemDescriptionOwnerNotesAction
1Diagnoses update

Ian Rodrigues 

  • Updated (proposed final) draft of Glaucoma Preferred SNOMED Diagnosis Terms attached
  • Agreed for glaucoma severity to be coded as observable entities within the "Staging and Scales" category - initially for the Hodapp-Anderson-Parrish staging system and for the ICD-9 (or 10) classification
  • Elaine Wooler it would be great if you could help create i) Bilateral; ii) Right eye and (iii) Left eye versions of these preferred diagnosis terms could now 
  • Elaine Wooler let me know when you have drafted the glaucoma severity staging scales. They will also eventually need i) Bilateral; ii) Right eye and (iii) Left eye versions
2Exam findings update

Sally Baxter 

Reviewed action points from May 2023 meeting

Reviewed findings from gap analysis regarding other angle characteristics as part of gonioscopic grading revamp



Next steps

Anthony Khawaja 








Meeting Files

  File Modified
Microsoft Excel Spreadsheet angle_characterization_mapping_snomed.xlsx 2023-Sep-29 by Sally Baxter
Microsoft Powerpoint Presentation Gaps in Glaucoma Exam Findings 2023 08 21.pptx 2023-Sep-29 by Sally Baxter
Microsoft Word Document Glaucoma Findings Action Points Aug 2023.docx 2023-Sep-29 by Sally Baxter
PDF File Glaucoma Preferred SNOMED Diagnosis Terms_October 2023.pdf 2023-Oct-03 by Ian Rodrigues


Previous Meetings

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3 Comments

  1. Elaine Wooler

    The following have been added as requested and scheduled for release in December 2023.

    • 1290323003 |Glaucoma stage (observable entity)|
      • 1295412003 |Glaucoma stage of left eye (observable entity)|
      • 1295413008 |Glaucoma stage of right eye (observable entity)|
    • 1295479002 |International Classification of Diseases 10th Revision glaucoma staging system (staging scale)| with values:
      • 1295408009 |International Classification of Diseases 10th Revision glaucoma stage 1 - mild (qualifier value)|
      • 1295409001 |International Classification of Diseases 10th Revision glaucoma stage 2 - moderate (qualifier value)|
      • 1295410006 |International Classification of Diseases 10th Revision glaucoma stage 3 - severe (qualifier value)|
      • 1295411005 |International Classification of Diseases 10th Revision glaucoma stage 4 - indeterminate (qualifier value)|
    • 1290318003 |Hodapp Parrish Anderson glaucoma staging system (staging scale)| with values:
      • 1290319006 |Hodapp Parrish Anderson glaucoma stage - early defect (qualifier value)|
      • 1290321001 |Hodapp Parrish Anderson glaucoma staging - moderate defect (qualifier value)|
      • 1290322008 |Hodapp Parrish Anderson glaucoma staging - severe defect (qualifier value)|

    I am also working through the lateralised additions requested for the diagnoses and have completed the work for IOP diagnoses so far.  I will add a full list in spreadsheet form.  Again these are scheduled for release in December 2023.

  2. Anthony Khawaja

    Brilliant - thanks Elaine!  Ian Rodrigues may not be able to attend this evening.  I know he was waiting for some examples of documents that other CRGs have used when seeking approval from international expert societies (I think Jane Millar kindly said she would provide).

  3. Ian Rodrigues

    Fantastic, thanks so much Elaine Wooler 

    Please let me know once you've had time to complete the lateralised additions requested for the glaucoma diagnoses and I can then prepare the summary document for circulation. 

    Also if you are able to get hold of some example documents that have been previously used by other SNOMED working groups, it would be great if you could share them.

    As ever, thank you so much for your continued efforts and support.