2020-5-18 NCPT CPG Meeting

1

Welcome/Roll Call

C. Papoutsakis

2

Agenda review and approval of minutes

• 2.1 Minutes (also available by referring to the agenda dated 20 April 2020)

C. Papoutsakis

Review agenda and minutes.

The agenda was reviewed and the minutes were approved by consensus.

3

Constipation

3.1 Constipation models

L. Unangst

Review outcome of submission to SNOMED International

The current and revised model of constipation was presented. The refinement of finding site from 122865005 |Gastrointestinal tract structure (body structure)| to 5668004 |Lower gastrointestinal tract structure (body structure)| per the CPG review appears to have been accepted pending July 2020 release.

4

Synonyms submission to SNOMED International

4.1 Synonyms discussion

D. Pertel

Review outcome of submission to SNOMED International

The outcome of the submission of synonyms to SNOMED are varied as identified in the document:

• eNCPT Synonym could not be submitted because eNCPT concept does not exist within SNOMED CT (ie, Food and nutrition related knowledge deficit)

• The level of granularity is different between eNCPT and SNOMED CT and concepts require re-review by relevant groups (International NCP, Classification, NCPRO Committee) before moving forward.

• The eNCPT synonym exists as a separate concept in SNOMED CT.

• Further work is needed to move these forward and the various groups involved will be charged with providing input to this end.

5

310243009 Nutritional assessment (procedure) vs. 1759002 Assessment of nutritional status

5.1 Nutritional assessment and Assessment of nutritional status discussion

• If a professional completes these procedures, what is the professional doing, specifically, and what is the outcome of each? 

• What literature is helpful to support these concepts?

D. Pertel

Feedback from professionals in individual countries. Review of literature.

• Understanding the two concepts is challenging based on the little information present. The current synonyms of the concepts do not appear semantically consistent.

• Researching which is used in C-CDA was recommended and will be pursued.

• Review of the potential concepts to define the procedure in SNOMED CT should be undertaken and considered as part of the decision.

• Possible child concepts should also be envisioned, and possibly submitted, when thinking about the definition.

• Current literature shows extensive use of the the two concepts to mean the same thing; however, additional research showing a distinction is welcome.

• Only a small amount of feedback from professionals was obtained, so if individuals are still hoping to gather additional information, please do so before the next call. Potentials questions for this information gathering are in the agenda.

6

Adjournment

The next call is June 15, 2020.

The call was adjourned.