*2020-3-16 NCPT CPG Meeting

Participants were welcomed to the call.

Agenda review and approval of minutes

• 2.1 Minutes (also available by referring to the agenda dated 17 February 2020)

Review agenda and minutes.

The agenda and minutes were approved by consensus.

Kuala Lumpur presentation

C. Papoutsakis

Presentation

The presentation C. Papoutsakis provide in Kuala Lumpur is provided for information.

Pilot Test Modeling

• 4.1 Pilot Scope Discussion
• 4.2 Terminology Pilot Modeling Review
• 4.3 Terminology Pilot Test Modeling Tracking

D. Pertel

L. Unangst

Pilot Scope Discussion

• Approved by consensus is removal from the pilot several SNOMED CT observable (nutrition assessment), finding (nutrition diagnosis), and procedures/regime/therapies (nutrition intervention) concepts (highlighted in yellow).
• Approved by consensus the approach to remodel all 12 Inadequate or Excessive nutrition diagnoses (findings) based on the examples and provide them on the consent agenda of a future meeting (concepts highlighted in green).

Pilot Modeling review:

Nutrition related skill education (E-2.2) (NI/procedure)

• Provide the minutes excerpt from this meeting to the NCPRO Committee to consider re-reviewing this nutrition diagnosis since it contains knowledge and skills, whereas, these are separate in NA/ME and NI.
• A separate skills deficit finding then could be used to define this concept.
• A further step to underpin a new concept like that would require a concept of Level of nutrition skills (observable entity) (or something like that as SNOMED CT does not have concepts like this).

Nutrition related content education (E-2.1) (NI/procedure)

• Provide the minutes excerpt from this meeting to the NCPRO Committee to consider re-reviewing this nutrition diagnosis since it contains knowledge and skills, whereas, these are separate in NA/ME and NI.
• The current Food and nutrition related knowledge deficit finding could be used to define this concept.
• Food and nutrition related knowledge deficit needs to be created in SNOMED CT.
• A further step to underpin the finding concept, Food and nutrition related knowledge deficit concept (just knowledge), a concept of Knowledge level of nutrition (observable entity) (or something like).

Constipation (PD-1.1.5.9) (finding)

• There was consensus that 5668004 |Lower gastrointestinal tract structure (body structure)| is more accurate as the finding site than the whole GI structure in the current model.
• The recommendation is recommend this change to SNOMED CT and alert them that this may create a conflict with another attribute of Interprets → 39211005 |Bowel action (observable entity)| since the new concept (5668004) does not have the synonym ‘bowel.’

Adjournment