2020-9-21 NCPT CPG Meeting

1

Welcome/Roll Call

• Reminder that calls are recorded

• SNOMED letter - signatures

C. Papoutsakis

Members were welcomed to the call. DP will work with SNOMED to try to identify the issue with access to the documents area.

2

Agenda review and approval of minutes

2.1 July 2020 minutes

C. Papoutsakis

The agenda and minutes were approved by consensus.

3

SNOMED virtual meeting

October 8-9, 2020

C. Papoutsakis

SNOMED's Expo learning opportunity (online and free).

Members were encouraged to consider registering for the upcoming SNOMED Expo. CP will provide recommendations for topics that may be of interest to CPG members.

4

Nutrition templates

4.1 Compliance and early template draft

4.2 Observables alignment report

4.3 Findings alignment report

D. Pertel

Review quality control outcome (observables and findings) that ensures integrity of SNOMED CT. Review initial draft diet template.

The most recent updates to the templates were reviewed. There are changes to the fully specified name for the Observables template that were shared. No changes were made to the findings template. The diet template is new. Compliance with the observables and findings templates is very good. 

5

July 31, 2020 release

5.1 SNOMED CT release assignments

D. Pertel

Review release outcomes.

A report of the most recent release of SNOMED (July 2020) was shared. Concepts not in the July 2020 release as expected have been resubmitted to SNOMED.

6

Pilot model reviews

6.1 Pilot finding models

6.2 Pilot test tracking

D. Pertel

Review and discuss modeling of findings from pilot and determine next steps.

The first two concept models were reviewed.

Unsupported beliefs/attitudes about food or nutrition related topics

• Several (up to 4 potentially) concepts in this nutrition diagnosis.

• Consistent with what Classification subcommittee recommended, an expert (Cam Rising, PhD, RD), suggested the following:

• Nutrition belief finding inconsistent with scientific evidence and Conflicting attitude about nutrition care (finding)  as 2 that would address separation of beliefs/attitudes.

• It is unclear how to address food or nutrition because disjunction is not permitted in SNOMED and there is not one 'name' for these two concepts. 

• This will be discussed by the Committee in the coming project year.

Not ready for diet/lifestyle change

• Contains two concepts (diet and lifestyle), which is problematic and not possible in SNOMED.

• Not ready for nutrition related behavior change or Absence of readiness for nutrition related behavior change were supported.

• Alternatively, concepts without the idea of 'nutrition' were also supported Not ready for behavior change or Absence of readiness for behavior change

The 3 additional models will be discussed by the CPG in November 2020.

7

Adjournment

There is no October meeting due to the Academy's FNCE. The next call is November 16, 2020.