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Conference Call Details

Meeting time is 2018-12-11 20:00 UK; 15:00 US ET (1900 UTC)

Starting with ZOOM

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    Meeting ID: 750-914-921

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Discussion items

ItemDescriptionOwnerNotes
1Introductions and apologiesAndrew Norton

Andrew Norton unable to attend, apology by email noted.

2HL7

The process by which HL7 updates are made was discussed.

HL7 membership allows voting and access to protected areas of their website, but much of the content is accessible to all. Corporate and individual memberships exist. 

Recent correspondence on existing standards for anesthesia records.

  • ? Need for "Risk of X" concept when documenting patient risks as part of informed consent
  • Positioning terms reviewed
  • How to express degrees of angle within SNOMED

Terminology is developing in HL7, e.g. towards a compositional grammar for expressing concepts. Ian Green notes that there is not an overarching move towards this and comments that legacy GP systems in the UK are not structured to make this easy. Nevertheless, the group consensus was that pre-coordinated terms were not flexible enough to cope with new devices, language translation, etc.

3SNOMED updates

Ian Green discussed the currently-circulated 2020-2025 stakeholder survey. We might be interested in particular areas within Anaesthesia (e.g. Devices, Medications) and should mention these where possible.
1 Differences between devices and drugs were noted, and frustration was expressed that these categories were not distinct. However, many modern devices blur the distinction (e.g. drug-eluting stents).
2. Steven Dain noted that ISO 4135 was the industry norm for describing anaesthetic equiment, and this is currently being revised. ISO 19223 relates to ventilator equipment, and will hopefully be finalised and published in the near future. SNOMED should work in sympathy with these.
3. UDI standards are being developed and these will influence activity in this area.

Planning for the business meeting in April is under way, and Anesthesia has requested 2 half-day sessions.

SNOMED has a communications lead - Kelly Kuru. She is looking for clinical perspectives on the use of SNOMED - does it offer what clinicians need? Any thoughts are welcomed by SNOMED. Steven Dain notes that software implementations often have a more significant effect on the user than the underlying classification.

Interoperability of record systems is advocated, and we noted that organisations such as  MD PnP have complied a white paper MD FIRE to promote interoperability.

4Anesthesia Quality Institute Updates

Patrick will report on the recent AQI Summit, which included a meeting of the AQI Data Definitions Committee.

Several committees were noted (...) to work in areas which relate to the SIG's area of interest. AQI NACOR data definitions were acknowledged. Ian Green noted that a proposal to review our terminology in this area may be worth considering.

Martin Hurrell noted the interest of HL7 in the area of ventilator settings and Steven Dain noted that ISO19223 also addresses this area.





2Minutes of previous meetingAndrew MarchantMinutes of 2018-09-25 Anesthesia CRG Meeting
3Matters arising from the minutes4
5Anesthesia Quality Institute UpdatesPatrick McCormickPatrick will report on the recent AQI Summit, which included a meeting of the AQI Data Definitions Committee.
9


10Any other business


11Dates for future meetings

Set 2019 Meeting Schedule


Meeting Files

Attachments