2020-3-16 NCPT CPG Meeting

1

Welcome/Roll Call

C. Papoutsakis

Participants were welcomed to the call.

2

Agenda review and approval of minutes

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

C. Papoutsakis

Review agenda and minutes.

The agenda and minutes were approved by consensus.

3

Kuala Lumpur presentation

C. Papoutsakis

Presentation

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

4

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

Discuss recommendation to modify the scope of pilot. Review and approve or suggest changes to modeling.

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 in the document and provide them on a future CPG meeting consent agenda (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 recommending re-reviewing of Food and nutrition related knowledge deficit 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 procedure concept.

• A further step to underpin the finding concept 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 recommending re-reviewing of Food and nutrition related knowledge deficit 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 procedure 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.’

5

Adjournment

The next call is April 20, 2020.

The meeting was adjourned. Stay well all!