Prioritisation of Content Tracker Components working page

 (2+3+3)/3=2.67

I think this component and the Qualifier Value are quite linked

(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.

DKA: Agree that clinical impact is difficult. A wide clinical range of issues in this box. User and terminology impact can be assumed to be high. However, given the diversity the component level might not be the right level of prioritization for this one.

EWO: I'm not sure many clinicians are focused on the complexities of SCT yet. Clinicians may do subsumption based queries but are more concerned that content looks correct in the patient record - no errors, odd abbreviations etc But any work to correct/assign parents would be seen as very useful indeed so some tracker items more clinically high priority than others.

(2+3+2)

At least 85 requests → high user impact.

Hard to determine terminology impact as most of Qualifier value hierarchy is not used in definitions. Qualifier values are tightly coupled to the domains in which they are used.

Here is my raking if the drug concepts are dealt rather in the Drug Project.(2+3+3)/3=2.67

Here is my raking if this work is not part of the Drug Projec(3+3+3)/3=3

I think this component and the previous one are quite linked

(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.

DKA: Yes, clinical and terminology impact hard. Also, component level prioritization might not be helpful here.

EWO:agree it would be useful to look at in more detail though there is increasing interest in post-coordinated expression from clinicians.

(3+?+3)

User impact: cannot see how many CRS tickets are related to this.

Terminology impact: 3644 matches "neoplasm" (disorder, group by concept). 55342001 | Neoplastic disease (disorder) | has 7515 descendants (~ 10 % of all disorders), used to define 485 other concepts.

Are not used to define other concepts.

 (2+2+2)/3=2

Should that work be part of the collaborative work with WHO?

(3+2+2)/3=2.33

Overall rating using tracker priorities - recommend high.

CRI: Neoplasm work here basically outside of the WHO collaborative work.

EWO: on searching CRS for Neoplasm in inception/elaboration there are 96 requests.

Disambiguation of therapeutic/iatrogenic abortion versus spontaneous abortion ('miscarriage') would be especially welcome albeit no small task.
Many classifications type concepts that would not sensibly be applied within a real time individual patient could be deprecated.
Also issues with “subjects of record” e.g.
- Foo disorder complicating pregnancy, childbirth AND/OR puerperium
- Foo disorder in pregnancy - [not yet] delivered
- Foo disorder >in mother< etc.
- Foo disorder >affecting management of mother<

(2+?+2)

Terminology impact: 198609003 | Complication of pregnancy, childbirth and/or the puerperium (disorder) | has 1315 descendants, 248982007 | Pregnancy, childbirth and puerperium finding (finding) | has 1979 descendants (489 in common w Complication...) + some other ones spread out.

Are not used to define many other concepts (62 and 188 respectively).

 (1+2+2)=1.67

I saw in other component tickets obstetrics, perhaps all ticket on that topic should be grouped together

(2+3+1)/3=2

Overall rating using tracker priorities - recommend - medium

CRI: did a search added Clinical Finding Obstetric issues. There is a small number of procedure ones as well which given interest should also be considered.

EWO: Some highly emotive content so rated high clinically. Couldn't see how many requests were linked so rated 2 based on other explanations.

(2+2+3)

Terminology impact: high, as Observables is a new area, might require update of concept model guidance.

 (2+2+2)=2

There seem to be duplicated ticket in the different component trackers. Linkage and dependencies should probably be determined before tackling this one.

(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.

EWO: There a lot of implementations in this area and high focus at present internationally for cancer and genomics

(2+3+3)

Clinical impact: hard to assess as it spans a wide range of clinical domains.

User impact: 20 trackers, 28 CRS tickets (+ everything related to LOINC mapping)

Terminology impact: high, as Observables is a new area, might require update of concept model guidance. Observables used to define 26721 other concepts (mostly findings).

(3+3+3)/3=3

Overall rating using tracker priorities - recommend high.

(2+?+3)

Terminology impact: 5352 descendants of 363679005 | Imaging (procedure) | used to define 595 other concepts.

(2+2+2)/3=2

Overall rating using tracker priorities - recommend - medium

The usage of Qualifier Value: Units of measure is heavily used in our drug product concepts. Better refined UOM would be of good assistance.
Comments: It would be good to share the remodelling agreement/document for Singapore Drug Dictionary to allows us to assess the impact to our use in the definition of strengths for our drug product concepts.
Question: Any plans to map UOM to UCUM?

(1+1+1)

Clinical/user impact: there are other standards (UCUM)

Terminology impact: 1177 descendants of used to define 0 (zero) concepts

Here is my raking if this work is not part of the Drug Projec(3+3+3)/3=3

(3+3+2)/3=2.67

Overall rating using tracker priorities - recommend high.

(2+?+3)

Terminology impact: 4430 concepts, impact on other hierarchies due to delimitation issues (wrt findings).

(2+2+2)=2

Not sure of the terminology content impacted 

(2+3+3)/3=2.67

Overall rating using tracker priorities - recommend high.

(2+?+3)

(why goals? should be findings and/or observables)

Terminology impact: Entire procedure hierarchy in scope!

Not sure of the terminology content impacted 

(2+3+3)/3=2.67

Overall rating using tracker priorities - recommend high.

(2+3+3)

User impact: Several CRS tickets implies many users.

Terminology impact: 20 000 concepts used to define 1742 other concepts.

Will this be part of the collaborative work for the CPT alignment?

(2+3+3)/3=2.67

Overall rating using tracker priorities - recommend high.

(2+3+3)/3=2.67

(3+?+3)

Terminology impact: large number of concepts, e.g. 66091009 | Congenital disease (disorder) | subsumes 6870 used to define 379 other concepts.

(3+1+1)

Terminology impact: 120 concepts subsumed by 73211009 | Diabetes mellitus (disorder) | used to define 353 other concepts.

(3+1+2)=2

(3+2+1)/3 = 2

Overall rating using tracker priorities - recommend medium.

CRI: 3 out of 4 of these trackers have had some work done on them.

EWO: user impact could have been 1 but think a lot of implementations keen on this.

(2+?+2)

Terminology impact: 74732009 | Mental disorder (disorder) | has 1499 descendants used to define 97 other concepts

(2+1+1)/3=1.33

Overall rating using tracker priorities - recommend medium.

(1+?+1)

Terminology impact: “presence” occurs for 83 concepts, modeling issues are present though...

 (2+1+2)=1.67

I think this component and the Situation/context are quite linked

2+1+2)=1.67

Overall rating using tracker priorities - recommend medium.

(1+1+1)

Terminology impact: 308916002 | Environment or geographical location (environment / location) | subsumes 1820 used to define 2 other concepts.

(1+1+1)=1

(1+1+1)=1

Overall rating using tracker priorities - recommend Low.

(1+1+1)

Clinical impact: there are other solutions (information models), international level concepts?

(1+1+1)=1

(1+1+1)=1

Overall rating using tracker priorities - recommend Low.

(2+2+2)

Terminology impact: hard to assess, many tough issues but might not impact content outside the area as they are typically not used to define other concepts.

(1+1+3)=1.67

This component seems to include complex issues. Perhaps some issues should be moved over to other components, like the Modelling Attributes & values?

(2+2+2)=2

Overall rating using tracker priorities - recommend 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.

This tracker seems to include tickets that should be part of other components. A review should be done to reallocate where possible to proper components, like attributes and qualifier values issues, neoplasms, Diagnostic Imaging issues..

Examples:

artf222786-Concept model: Presence of X (situation) - presence of X (finding)

artf6217-Allergies and adverse reactions