2022-04-04 Anesthesia CRG at SNOMED Business Meeting (Pt 2 & 3)
Invitees:
Former user (Deleted) Andrew MarchantSteven Dain Patrick McCormick Martin Hurrell (Unlicensed) Former user (Deleted) Former user (Deleted) Monica Harry Ian Green Jane Millar Zac.Whitewood-Moores (Unlicensed) Former user (Deleted) Jeremy Rogers (Unlicensed) Former user (Deleted)Steven DainFormer user (Deleted) Former user (Deleted)Former user (Deleted) Former user (Deleted) Former user (Deleted)Christine Spisla
Present:
Monica Harry Martin Hurrell (Unlicensed) Former user (Deleted) Donna Morgan Krista Lilly
Guest:
Anesthesia Clinical Reference Group
Time: April 4, 2022 10:30 - 12:00 UTC / 10:30 - 12:00 UK / 04:30 - 07:00 ET
https://snomed.zoom.us/j/81422410340?pwd=cWE0eDRJNzQzMXlVSW9ONXUxZ2txdz09
Time: April 4, 2022 13:30 - 17:00 UTC / 13:30 - 17:00 UK / 08:30 - 12:00 ET
https://snomed.zoom.us/j/86946627309?pwd=QzRiWmNHaHJLK3J0OGkwQm1sZnVqQT09
Or Telephone:
+1 646 518 9805 (US Toll)
+44 203 481 5237 (GB Toll)
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International numbers available: https://snomed.zoom.us/u/avs0qL3Fx
Item | Description | Owner | Notes |
|---|---|---|---|
1 | Introductions and Apologies | Andrew Marchant | Apologies Zac.Whitewood-Moores (Unlicensed) |
2 | Matters arising from the previous meeting notes | Andrew Marchant |
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3 | HL7 Anesthesia Record Domain Analysis Model Review | Martin Hurrell (Unlicensed) | HL7 Domain Analysis Model: Intra-Procedure Anesthesia, Release 1 - Anesthesia - Confluence 2020_MAY_HL7_DAM_ANESTH_R1_I5.pdf Per Martin Hurrell (Unlicensed), 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 Hurrell (Unlicensed)will come to this group to create term sets for use within the Implementation Guide. |
4 | Terminology review | Monica Harry | 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 Former user (Deleted)content analysis of regional blocks. Conclusion is that most items are represented in SNOMED. |
5 | Anesthesia CRG work plan | Andrew Marchant Patrick McCormick | Would like to clarify where anesthesia CRG can be useful within SNOMED. Ideas: clean up orphan terms? staged review of anesthesia content?
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| Date of next meeting: |
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Comments
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
https://docs.google.com/spreadsheets/d/1WcdRvInDKQx9LNtpKVJMKwhH-Rh0xU95maI1fbtjg-Y/edit?usp=sharing
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.
How does SNOMED handle the concept of baricity in relation to meds such as hyperbaric bupivacaine.
Not directly relevant to epidurals, but how might an assessment such as the 'stop before you block' be handled in SNOMED. This is a risk assessment that falls into the category of safety checklists but there might be scope for some terms related to it.