1

Welcome/Roll Call

• Reminder that calls are recorded

• SNOMED April business meeting schedule

C. Papoutsakis

Attendees were welcomed to the meeting.  Going forward, a trial of meeting at 1900 UTC year round will be attempted. 

2

Agenda review and approval of minutes

2.1 March2022 minutes

C. Papoutsakis

The agenda and minutes (March 2022) were approved by consensus.

3

Goal setting 

• Discuss --391892008 |Goal directed therapy (regime/therapy)|, 386367000 |Mutual goal setting (regime/therapy)| , and 386429002 |Self-modification assistance (regime/therapy)| 

• Review nursing and nutrition literature, identify additional sources

• Identify concepts needed

• HL7 goal concepts

All

391892008 |Goal directed therapy (regime/therapy)|

Historically it was a synonym for manipulation of oxygen dynamics. Neither the  Anesthesia CRG nor the Mental Health CRG have use for the concept. E. Wooler will address inactivation (Ambiguous or Outdated with relevant associations).

386367000 |Mutual goal setting (regime/therapy)| is accepted as a valid concept.  

386429002 |Self-modification assistance (regime/therapy)|

The origin of this concept appears to be in nursing. There are no current PubMed references that describe this idea. E. Wooler will address inactivation.

J. Millar suggested that a multidisciplinary group should be considered to identify the concepts needed and used by many professions, such as, goal setting, shared team goals, client centered goals, and mutual goal setting. D. Pertel will share this with the Nursing CRG representatives who also have an interest in this topic.

4

Pilot test: Subcutaneous fat concepts

All

Members supported the revised modeling suggested for 248302001 Excess subcutaneous fat (finding)|

E. Wooler will explore whether Decreased and Loss are considered synonyms before a final decision can be made about the modeling for the 248316006 |Loss of subcutaneous fat (finding)| concept.

5

Adjournment

The next meeting is Monday, May 16, at 1400 US Central Time (1900 UTC).