1.1. Summary
A page to collect information on procedures that in are in high usage in member countries to support prioritisation on procedure sub-hierarchies for QI work. For discussion at the April 2025 CMAG Business Meeting.
1.2. Relevant documents
1.3. Links
CMAG April Agenda and High Use Procedures
1.4. Country response
| Country | Date | Response |
|---|---|---|
| Germany |
|
We're currently working on translating the entire branch of surgical procedures in preparation for mapping our national procedure classification to SNOMED CT — particularly in light of the EHDS. We're encountering some outdated content, especially involving eponyms that had already been inactivated after we submitted a change request:
As a side note: Interestingly, we’ve come across concepts with one name in English that are used with two names in German — for example, 275238003 |Bassini repair of inguinal hernia (procedure)| is referred to in German as Leistenhernienreparation nach Bassini-Kirschner, because Kirschner modified the original Bassini technique. There are also cases where a technique was developed simultaneously in Europe and the US in the 1920s; in Germany, both names are still in use (I’ll have to look up some examples). We're also encountering naming inconsistencies concerning resection vs. excision, and extirpation vs. removal vs. destruction. I'm happy to share more examples if helpful. I’m aware that this branch, with over 21,000 concepts, is quite large. At the moment, we're not in a position to propose a more strategic approach. Perhaps other members who are already using these concepts or currently working on a mapping project might have input to share. |
|
Norway |
|
Norway has not implemented content from the procedure hierarchy broadly, however, we know that procedure concepts are being used in several national cancer registries. Furthermore, procedure concepts that represent nursing interventions are being broadly used nationwide in national and individual care plans based on the ICNP international reference set. We have created a separate national reference set for nursing interventions (as well as goals and problems), to be able to enrich the existing subset from the international ICNP reference set. The concepts in these national reference sets are used across the country, and we have some numbers of use that we can provide, but the data is currently only written in Norwegian. |
| The Netherlands | 06.apr.2025 |
For the Netherlands we have a broad national extension. If I look where we are working on now and what we see coming, it’s especially aligned with EHDS and national regulations. And issues that come from the hospital procedure thesaurus. Important areas for us are:
|
| Sweden | 7 apr 2025 |
It's hard for us to know for sure which procedures that are in high use in Sweden, because we don't have access to "frequency data" for concepts. We don’t think that any procedures are in high use yet, except for imaging procedures that some regions in Sweden are working on right now. Also - nursing interventions based on the ICNP international reference set are being used. We also have a pilot project ongoing where we are mapping our national procedure classification called “KVÅ” to SNOMED CT. The first areas in focus are:
|
| New Zealand | 8 April 2025 |
We do not have the data of which procedures that are in high use in NZ. We have created 935 procedures concepts in the NZ extension. There are 5 reference sets for recording minor procedures performed in outpatient clinics, also there are radiology procedure refset and maternity procedure reference set that are being used nationwide. We are currently working on creating systemic anti-cancer therapy regimen (regime/therapy) to capture information on patients receiving systemic therapy across New Zealand. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Member countries without a CMAG rep |
|
|
1.5. Final outcome:
1 Comment
Matt Cordell
It doesn't look like I can edit the above table, so commenting here.
For most of us, it's really hard (if not impossible) to get "frequency data" for concepts. NRCs don't typically have access to EMR/EHR.
Looking at what extension content exists is a good proxy. Presumably NRCs are creating content in areas that people are using (hence requesting content).
We publish a refset developed by our Surgical College for use in their "Morbidity and Audit Logbook Tool" (MALT)
The refset is 1061861000168107|Royal Australasian College of Surgeons MALT surgical procedure reference set| - contains about 16000 procedures.
It's updated regularly, (though overdue at the moment and contains about 70 inactive concepts)
We've created 2257 procedure concepts in the AU extension. About half (1225) of these are surgical procedures. Most (726) of the others are Evaluation procedures, primarily Pathology/Laboratory medicine. And we're about to embark on a batch of imaging procedures - though trying to leverage the work already done in other extensions (Canada and UK)
To add to the comment above about Eponymous procedures.. We've encountered a few and I think they're an unfortunate necessity despite what editorial rules might say.