Please see attached briefing note.
|Response required by:
|8 December 2021
|Feedback on plan to inactivate procedure concepts which specify the intent
|Please post your final responses in the Country response table below. Discussion comments can be made as comments.
|DK agrees to the suggestion in the briefing note about inactivation of procedures stating intent as diagnostic or therapeutic and using agnostic procedures instead.
|NZ is in agreement with the proposal to inactivate procedures stating intent (diagnostic/therapeutic).
Before we can agree with this proposal we need more information as we use diagnostic/therpeutic in our extension. We miss (or can't understand) information from this proposal. These are our questions:
We had problems with interpretation of when to use Has intent and this has been causing problems. We do not receive many requests for procedures with the words "diagnostic" or "therapeutic" in the term, although occasionally it happens.
I have a question about the following : "Unless there is a clinical reason and the procedure itself changes depending on whether it is diagnostic or therapeutic then the agnostic procedure would be sufficient." Does it meant that in these circumstances, Has intent can be added?
It would be very useful if specific examples illustrating different scenarios are added to the guidance to help us with authoring.
600+ endoscopy procedures in core are modelled with Method - Inspection-action in stated view, which seems like an alternative way of saying that this procedure is performed for diagnostic reasons (to inspect something rather than to treat).
|Ireland agrees with inactivating these concepts as they are not currently in use here.
|Sweden agrees to the suggestion about inactivation of these concepts.
|Sound proposal but without knowing which concepts are affected, hard to speak to the impact of the changes. However from a modelling perspective, it definitely makes sense. No objections from our end.
|Belgium does agree to the proposed suggestion about inactivating these concepts.
|Member countries without a CMAG rep
Follow up on this topic at 2022-04-11 - CMAG Meeting
|Response required by:
|11 April 2022
Feedback on questions asked at the April 2022 CMAG meeting:
|Please post your responses in the Country response table below. Discussion comments can be made as comments.
|We know that our analysts would want this type of division, but our clinicians tell us that it is not possible to make this in practice. So the goupers are only useful if the do capture all. As you say this is not the case we would vote that they can be inactivated.
We agree that separating diagnostic from therapeutic intent is not practical. We agree these may be inactivated.
|Intent is generally not a key element in the description of procedures. (If something in the procedure is intent-specific, it should be described as a characteristic on its own.) This said, diagnostic and therapeutic procedures are heavily used in value sets, in part because of the current hierarchical organization of SNOMED CT. Therefore, substantial work will be required to adjust to the proposed changes.