Andrew Norton Andrew Marchant Steven Dain Patrick McCormick Martin Hurrell Maria Hendrickson Terri Monk Monica Harry Ian Green Jane Millar Zac Whitewood-Moores Ellen Torres Jeremy Rogers Toni MorrisonSteven Dainuser-7e841 user-b7840user-619d4 Sander Mertens Ingrid MertensChristine Spisla
Monica Harry Martin Hurrell Maria Hendrickson Donna Morgan Krista Lilly
Anesthesia Clinical Reference Group
Time: April 4, 2022 10:30 - 12:00 UTC / 10:30 - 12:00 UK / 04:30 - 07:00 ET
Time: April 4, 2022 13:30 - 17:00 UTC / 13:30 - 17:00 UK / 08:30 - 12:00 ET
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International numbers available: https://snomed.zoom.us/u/avs0qL3Fx
|1||Introductions and Apologies|
Apologies Zac Whitewood-Moores
Matters arising from the previous meeting notes
|3||HL7 Anesthesia Record Domain Analysis Model Review|
HL7 Domain Analysis Model: Intra-Procedure Anesthesia, Release 1 - Anesthesia - Confluence
Per Martin Hurrell, Project scope statement has completed review
Now we need to populate the value sets. These will be defined in the implementation guide, not the DAM. Both IG and DAM are informative. Martin Hurrellwill come to this group to create term sets for use within the Implementation Guide.
Reviewed spreadsheet of new ventilator terms - outstanding questions resolved, Monica will close out CRS requests
Reviewed existing SNOMED ventilator terms that are "procedures", moving to "regime therapy" because therapy occurs over a period of time
Next meeting Monica will return with loose ends if any
Reviewed Ellen Torrescontent analysis of regional blocks. Conclusion is that most items are represented in SNOMED.
|5||Anesthesia CRG work plan|
Would like to clarify where anesthesia CRG can be useful within SNOMED. Ideas: clean up orphan terms? staged review of anesthesia content?
Date of next meeting:
Thank you for the invitation to the meeting, it was great to meet (and catch up with) friends old and new.
Regarding item 3, I spent some time looking at Ellen Torres epidural use case and cross-referencing some terms, using IOTATerms.owl as the first search, then the IHTSDO browser.
It's a work in progress, as you might imagine, but there are a couple of things that came up in the initial searches.
Grant, regarding 1, I suggest adding bupivacaine 0.75% with Glucose 7.5% as a product
regarding 2, I would use the existing "surgical time out procedure code"
regarding 3, I'll have a look later 4 surgic15682000 | Surgical time out (procedure) |
Thanks Steven, re. 1, that would certainly work, but my understanding is that Hyperbaric bupivacaine can also be produced by the addition of glucose (80 mg.ml−1) to isobaric (‘plain’) bupivacaine 0.5%, which would be 8%. No doubt other preparations exist. Give the variety of units used and preparations, I think what I was saying is that there may be a need to express the concept of 'baricity' without reference to pharmaceutical preparations, but I'm not sure how that could be done.
Should we move this to 'discussions' ?
Sorry, meant to share the link to the spreadsheet