1

Welcome and role call

Bruce Goldberg

3

Injuries - continued

Bruce Goldberg, Yongsheng Gao

• Modeling traumatic injuries when morphology is not a subtype of damage

• Modeling accidental injuries

3

Complications of procedure

Bruce Goldberg , Jim Case

• Re-examination of utility of adding a complication parent to disorders due to procedures

4

Reconsider fetal-maternal modeling

Phil Brown

• Need to re-review Phil Brown's previous proposal for agreement on how to proceed

• The Netherlands are having translation issues with concepts that could be considered either fetal or maternal findings/disorders (and also affecting the Situation hierarchy). The SCT to ICD-10 map also has inconsistencies. There are trackers:

  • https://jira.ihtsdotools.org/browse/IHTSDO-734

  • https://jira.ihtsdotools.org/browse/IHTSDO-243

  • https://jira.ihtsdotools.org/browse/IHTSDO-644

  An example given was 199549009 |Fetus with drug damage - delivered (disorder)|. They're asking if the concepts say 'delivered,' does this mean it's a concept for the mother's record? Otherwise, if a fetus is delivered, then it is no longer a fetus; however, it's a child of 70591005 |Fetal disorder (disorder)|.

  I think I remember Australia having recent issues with this as well. Is this on an upcoming work plan? ECE? I don't see anything in the Ed Guide regarding subject of record in this context?

  • Response from Phil Brown -

    In relation to the concept Fetus with drug damage - delivered - I suspect it originates or relates to O35.5 (I didn’t have access to the cross references I think on the SCT browser)

    Maternal care for (suspected) damage to fetus by drugs

     But I think it means that the drug damage occurred whilst the delivered neonate was intra-uterine i.e. a fetus; 

    So the concept probably means Disorder of neonate Due to Drug damage to foetus

5

Pregnancy/labor/delivery function observables

Bruce Goldberg

• Proposal to inactivate these in favor of clinical findings

6

Dupuytren disease and contracture

Bruce Goldberg

• Proposed modeled for Dupuytren disease and Dupuytren contracture

7

AOB, adjourn

ALL

• Next call, Monday, February 10, 2020 at 20:00 UTC https://snomed.zoom.us/j/586788252 Meeting ID: 586-788-252