2019-4-15 - NCPT CPG Meeting

All,

I may not be able to dial in tomorrow and wanted to offer some feedback before.  There are a number of ways to accommodate some of these terms within SNOMED and not all of them will fit unless we care clear on the context of the Nutrition observable.

i.e are we talking about a current Nutritional findings of one's diet

Open

or Actual nutrient intake

Open

If we are talking about nutrient intake are we trying to describe an actual unit of measure  that is applied to a finding ( i.e total 10g carbohydrate (?calculated as one portion exchangge of carbohydrate) which would equate to 40 kcal consumed)  

Open

Energy is also defined as a Unit of measure that could be used and applied to define certain situations through either post or pre co-ordination

Open

As you know terms can be coordinated via Pre or Post coordination, a pictuer is worth 1000 words and the one below is from a website that does well to explain this simply, clicking image should take you to the web site and this is explained This is explained further on the snomed wiki here 

So all the terms in the list are potentially possible with the terms that are currently in use if we are clear on the context.  If we do not have a way to do it we could then look at the the need to create newer content as a last resort.

Finally when you are look at discussing the hierachy of terms is this for within SNOMED or within NCPT, there is some inconsistency with the way dietary / nutritional is used in defining terms within SNOMED but this is generally superficial as there is more than one way to define a term/concept .

I hope that helps and would be good to see how things go with the meeting later and hopefully I will hae some time to dial in.

Warm regards,

Nathan

Dear all
Following our productive SNOMED meeting, the only disquiet I have is the discussion regarding water.

I totally agree with water being under “nutrients”. My challenge is the inclusion of the other items within “fluids” under Nutrient.

As we appreciate, “Fluids” can be a mixed medium and not an isolated nutrient , so including the non-water fluids in this space as well does not sit well with me  just at the moment. Possible the remainder of Fluid sits better with food (eg with milk, enteral feeds)

Seems mixed logic to me to have everything under “nutrient” as  the specific nutrient but the inclusion of fluid (vs purely water) is an exception to this.  
Are there other solutions?
Angela

⦁ Nutrient Intake