1

Welcome and role call

BGO

2

Review of previous meeting minutes and actions

BGO

YGA

• Addition of during and during and/or after roles to associated with role hierarchy
  Proposal endorsed by anesthesia SIG

• As GCIs not supported by current SNOMED DL (and unlikely to be implemented in near future) it was suggested that secondary x could be modeled using domain-specific templates (or a general template) in protege and classified descendants then added to SNOMED CT. Yong will investigate. He will post his OWL file.

Estimate project size

Advised to confirm that anesthesia SIG comfortable with perioperative complication as during and/or after surgery as opposed to before, during and/or after surgery.

E-mail sent to MHA to bring to anesthesia SIG

The link to the OWL file for example: Secondary disorder concept modeling

3

Revisions to editorial guidelines

BGO

• Relationship governed by the point of coding?  

  • Example of Myocardial infarction due to coronary artery thrombosis - although fits the general pattern of due to as thrombosis not necessarily still present with myocardial infarction, during a particular evaluation both thrombosis and myocardial infarction may be known to be co-occurrent. ? Document presence of both with 2 statements X due to Y and Y? KP had created "combo codes of the type DM with diabetic complication X associated with 2 CPT codes

• Domain-specific guidelines for complications

  • Need to address issue that only some complications may inherit the causative life phase

• Finding due to disorder

  • Is this a finding or a disorder?

• Authors test

  • Have only received completed tests from Phil and David.

• Question from David Sperzel re. if a disorder (CLP) is modeled with 2 stated parents, are those parents always necessarily co-occurrent?

CombinedDisorderExercise_BG_PB_DR.xlsx

7

AOB, adjourn

ALL

• Next meeting 7/11/2016 2100 UTC