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Anesthesia Clinical Reference Group

Time: Tuesday, April 4, 2023 14:30 - 16:30 UTC / 15:30 - 17:30 UK BST / 10:30 - 12:30 ET

Location: Exchange Room, Andaz Liverpool Street, London, UK

April 2023 - SNOMED International Business Meetings

https://snomed.zoom.us/j/86794873733?pwd=a0F0dUpybnF4MnFXbjFjOGdUV0dTZz09

Or Telephone:

+1 646 518 9805 (US Toll)
+44 203 481 5237 (GB Toll)
+1 587 328 1099 (CA Toll)

International numbers available: https://snomed.zoom.us/u/avs0qL3Fx


ItemDescriptionOwnerNotes
1Introductions and Apologies


2

Matters arising from the previous meeting notes


2023-03-28 Anesthesia CRG Meeting
3SNOMED Update




Recruitment


Organisations this group can reach out to:

Patrick McCormick has in the past spoken to American specialist societies in Anaesthjesia and has found interest but little concrete engagement. Jane Millar will discuss our list with Ian Green and consider where we can build bridges towards further engagement. There was a general acceptsnce that it will be easier to build engagement when we have specific projects which require broader clinicla input. Grant Forrest noted that AAGBI and RCOA are not coordinating work in this area, which the group regrets.


Review of Prior CRG Work


List of prior work here:

Documents - Anesthesia SIG

Restructuring of Local anesthesia (procedure) hierarchy - https://jira.ihtsdotools.org/browse/IHTSDO-661

Nerve blocks - https://jira.ihtsdotools.org/browse/IHTSDO-376

Work on ventilator terms, particularly by Steven Dain , was noted.

Recent work on nerve block nomenclature standardization

Monica Harry noted that terminology related to Nerve Blocks is ripe for review. The difficulty of finding consistent terminology in current practice was noted. Previous discussions in the Anesthesia SIG were noted (inc 2015 document ref artf7623). There is further discussion of this in the paper by El-Boghdadly et al:

Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of abdominal wall, paraspinal, and chest wall blocks


Review of Semantic Associations within Anesthesia Terms


Semantic associations between anesthesia SNOMED terms are likely of more importance going forward.  CRG could create an organized plan to review and if necessary amend semantic relationships between key concepts.

Example:

  • Difficult intubation & related concepts

Is it worth removing postcoordinated "anesthesia for xxx procedure" terms? Monica Harry will discuss this with Jim Case.



Anesthesia Implementation Guide Discussion


Implementation Guide Template

Related work, suggested by Jane Millar , might be to review the data required to represent a contemporary anesthesia record and check that SNOMED can represent these.

Cancer Synoptic Reporting Group also working on implementation guide

2023-03-06 - Cancer Synoptic Reporting Project Group Meeting

Questions for Anesthesia CRG:

  1. Audience for Implementation Guide
  2. Focus of IG content
  3. Possible Timeline

Jane Millar and Ian Green will review the benefit that an implementation guide and consider whether this is a useful and practical idea. The group noted Peter Williams as one potential contributor to a ppractical discusssion.





5

Date of next meeting

Tuesday May 23, 2023

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