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Focus Area (hierarchy/topic)Trackers: 252- with recognition that some may be present in more than one component (total excludes Content Issues for Authoring) | Scope of Content | Member Priority Summary | Member Comments | Priority- Daniel
| Priority- Linda | Priority-John | Priority-CathyMy column is draft at this point. | Group member comments | Final rating |
|---|---|---|---|---|---|---|---|---|---|
Concept Modelling, Attributes and ValuesTrackers: 45 Modelling Review
| This area focuses on the review (or addition) of attributes and the values that can be applied to them. While not a clinical area per se, work in this area supports the defining and quality of content which in turn supports implementations and secondary use. | 2 countries high, 1 country medium. | (2+3+3)/3=2.67 Overall rating using tracker priorities - recommend high. | CRI: Clinical impact difficult to determine so went for average as I would expect there to be some. | |||||
Qualifier ValueTrackers: 18 Pattern Review Hierarchy Cleaning Modeling Review | Remodeling related to new attributes and new content. Clarification of meaning of existing content. | 1 country high, 2 countries medium | Singapore: Better clarification of qualifier values would be beneficial as we use this hierarchy in our drug product concepts rather extensively. Comments: It would be good for us to be updated of the changes made as it might have impact to our Singapore Drug Dictionary. | (2+3+3)/3=2.67 Overall rating using tracker priorities - recommend high. | CRI: Clinical impact difficult to determine so went for average as I would expect there to be some. | ||||
Clinical Finding: NeoplasmTrackers: 21 Pattern Review Hierarchy Cleaning Modeling Review
| Naming conventions reviews and improvement of modeling of malignant disorders. | 2 countries high | UK: As well as a general clean-up, we could suggest the creation of precoordinated cancer >disorders< which are currently expressible only as morphology concepts. (we could provide input in making suggestions on identifying these). | ( 23+2+2)/3=2.33 Overall rating using tracker priorities - recommend high. | |||||
Clinical Finding: ObstetricsTrackers: 7 Pattern Review Hierarchy Cleaning Modeling Review | Revision work on abortion concepts and the modeling of antenatal and postnatal content. | 2 countries high | UK: Disambiguation of therapeutic/iatrogenic abortion versus spontaneous abortion ('miscarriage') would be especially welcome albeit no small task. | (2+3+1)/3=2 Overall rating using tracker priorities - recommend - medium | |||||
Procedures/Qualifier Value: PathologyTrackers: 27 Pattern Review Hierarchy Cleaning Modeling Review | Issues include cancer synoptic reporting, hierarchy reviews, specific issues e.g. measurement activity vs. quantity, units of measure, specimens | 2 countries high | (3+3+3)/3=3 Overall rating using tracker priorities - recommend high. | CRI: Units of measure in this group also covered under Qualifier Value and the Units of Measure tracker. | |||||
Observable EntityTrackers: 20 Pattern Review Hierarchy Cleaning Modeling Review | Large review of observables and investigation procedures - including modeling but also specific areas such as functioning observation results | 1 country high, 1 country medium | (3+3+3)/3=3 Overall rating using tracker priorities - recommend high. | ||||||
Procedure: Diagnostic ImagingTrackers: 8 Pattern Review Hierarchy Cleaning Modeling Review | Remodeling and naming pattern review of imaging procedures and sub hierarchies such as gastrointestinal imaging, angiographies, Ultrasound scan - obstetric, Radiography vs. X-ray and others | 1 country high, 1 country medium | (2+2+2)/3=2 Overall rating using tracker priorities - recommend - medium | ||||||
Qualifier value: Units of MeasureTrackers: 4 Pattern Review Hierarchy Cleaning Modeling Review | Reviewing of possible duplicated content and remodeling to align to agreed patterns. | 1 country high, 1 country medium | Singapore: The usage of Qualifier Value: Units of measure is heavily used in our drug product concepts. Better refined UOM would be of good assistance. | (3+3+2)/3=2.67 Overall rating using tracker priorities - recommend high. | |||||
Situations/ContextTrackers: 23 Pattern Review Hierarchy Cleaning Modeling Review | Reviewing patterns and concept modeling for content such as: No known allergies and other Non-x concepts, Resolved concepts, Seen in clinic, and others. Relocation of concepts from Findings and Procedures that have context. | 1 country high, 1 country medium | UK: Reviewing patterns and concept modeling for content such as: ... Seen in clinic, and others. Relocation of concepts from Findings and Procedures that have context. | (2+3+3)/3=2.67 Overall rating using tracker priorities - recommend high. | |||||
Procedure: Interventions, Plans and GoalsTrackers: 14 Pattern Review Hierarchy Cleaning Modeling Review | Remodeling of sub hierarchies as such as: Care plan, Types of encounter, Screening intent vs. Screening type, Prevention vs. Preventive regime, and others. Better define the meaning of Treatment vs. Therapy, Plans and Regimes and others, and adjust accordingly | 2 countries medium | Singapore: As part of our Care Plan documentation, it is definitely beneficial if the contents are classified into sub hierarchies such as interventions / plans, etc. | (2+3+3)/3=2.67 Overall rating using tracker priorities - recommend high. | |||||
Procedure: Surgical ProcedureTrackers: 19 Pattern Review Hierarchy Cleaning Modeling Review | Remodeling of Intraoperative concepts, Surgical procedures not subsumed by Surgical procedure concept, Aspiration procedures, Needle biopsies & Fine needle aspiration biopsy procedures, Implantation (procedure) hierarchy . New patterns for Anastomosis from X to Y, Reamputation of <site> and others | 2 countries medium | Singapore: We are planning to synchronise TOSP (Table of Surgical Procedures) codes with SNOMED. The remodelling of Surgical Procedures may help in our future exercise. | ||||||
Clinical Finding: Congenital, Hereditary, Genetic and FamilialTrackers: 5 Pattern Review Hierarchy Cleaning Modeling Review | Remodeling, hierarchy and naming pattern review - mainly congenital disorder modeling and definition and clarification of descriptions relating to familial, genetic and inherited. | 2 countries medium | UK- Genetics please | CRI: SNOMED International has is working collaboratively to develop a Genomics strategy. | |||||
Clinical finding: Diabetes MellitusTrackers: 4 Hierarchy Cleaning Modeling Review | Improvement in Diabetes Mellitus content. | 1 country high | (23+2+1)/3 = 1.672 Overall rating using tracker priorities - recommend medium. | CRI: 3 out of 4 of these trackers have had some work done on them. | |||||
Clinical Finding/Event: Mental HealthTrackers: 12 Pattern Review Hierarchy Cleaning Modeling Review | Overall review/update of psychiatry and mental health terminology. Also specific areas of concern such as substance abuse/misuse, neurosis descriptions and modeling, | 1 country high | UK: Any improvement of subsumption, naming and rationalisation of content would be welcome. | ||||||
Clinical Finding/Observables: Presence and AbsenceTrackers: 8 Pattern Review Hierarchy Cleaning Modeling Review | Issues relating to the presence or absence of a disorder. Links to observables redesign work also. | 1 country medium | Singapore: We noted the lack of clarity over certain diagnosis (i.e.) ConceptID: 106074003 | Electrocardiogram finding in hypertrophy, infarction AND/OR ischemia (finding) - so is that "And" or "Or"? It would be better if concepts like these are better defined. | ||||||
EnvironmentTrackers: 2 Hierarchy Cleaning
| Review of entire hierarchy - content examples include inpatient, outpatient settings. | 1 country medium | |||||||
Clinical finding vs. Procedure: Administrative Statuses ContentTrackers: 2 Pattern Review Hierarchy Cleaning | Revision work on Administrative statuses content. Overlap of referral content between Clinical Findings and Procedures. | 1 country medium | |||||||
Clinical finding: Temporal contextsTrackers: 13 Pattern Review Modeling Review | Remodeling to align to patterns. Issues which have a temporal aspect e.g. period of life, during an event etc. | 1 country medium | CRI: Two of these are also from the Obstetrics component. The ECE project group has been doing work on combined disorders and temporal context. Machine Readable Concept Model changes are currently being made to the authoring tool for new subtypes of the Associated with attribute plus an extension of the range for the Due to attribute. See: 6.1.4 Disorder combinations 6.1.5 Complications and Sequelae The X with Y component had a number of trackers with temporal context but this hadn't been explicitly stated. This link has now been added. | ||||||
Content Issues for AuthoringTrackers: 82
| Content includes: issues identified as small or simple enough to be managed in the authoring tool and issues that have progressed through the content development process and are ready for the construction phase. Some may be in construction review. | Not on listing for members |