20240115 DEUSG: EDQM Map - Internal Review

20240115 DEUSG: EDQM Map - Internal Review

EDQM updates (Source) - July 2022 to January 2024

Inactivations in EDQM

#

Code

Term

Status

DEUSG Action / Plan

#

Code

Term

Status

DEUSG Action / Plan

1

13136000

 Gastro-resistant powder for oral suspension

Not Referenced

No action required

2

10609000

 Eye drops, prolonged-release

Not Referenced

No action required

3

50056000

 Prolonged-release granules for oral suspension

Not Referenced

No action required

4

50026000

 Gastro-resistant granules for oral suspension

Not Referenced

No action required

5

10307000

 Oromucosal drops

Not Referenced

No action required

6

50036000

 Modified-release granules for oral suspension

Not Referenced

No action required



New codes in EDQM (1st review by the content Team)

#

Code

Term

Status

Content team evaluation

Products that use this form

Expert feedback

Action / Plan

#

Code

Term

Status

Content team evaluation

Products that use this form

Expert feedback

Action / Plan

1

13179000

Granules for modified-release oral suspension

Not Referenced





@Matt Cordell we have that form in AMT "modified release granules".
It's used for mesalazine and morphine products. (11 Clinical drug concepts). And 1 para-aminosalicylic acid.



2

13184000

Powder for solution for provocation test

Not Referenced

Not in scope



@Julie James (BW) has too much specificity about the use, which is out of scope for SNOMED PDF

@Rutt Lindström Maybe it is worth mapping to a broader SNOMED dose form?

@Stuart Abbott IMprove scope definition to have a clear explanation on how too much detail may put the code out of scope

Evaluate a narrow to broader map

3

13168000

Oromucosal drops, solution

Not Referenced

In scope



@Julie James (BW) We have 385072008 | Conventional release oromucosal drops (dose form) | but not the more detailed dose forms.  Following the principles and pattern we now have for other types of drops etc. (e.g. 385125006 | Conventional release solution for eye drops (dose form) ), this concept should be added to SNOMED CT if/when required to support description of products

Add if/when required

4

13169000

Oromucosal drops, suspension

Not Referenced





As above (row 3)

Add if/when required

5

13177000

Granules for gastro-resistant oral suspension

Not Referenced





761901008 | Granules for gastro-resistant oral suspension (dose form) |

Make new map

MJO - mapped.

6

13165000

Suspension for gel

Not Referenced





@Julie James (BW) Could be added to SCT if required as Suspension for conventional release cutaneous gel. 
BDF = suspension, Int Site = Cutaneous AdmMeth = Apply Rel Char = Conventional Transform = Mix

Add if/when required

7

13178000

Powder for gastro-resistant oral suspension

Not Referenced

In scope



@Julie James (BW) We (SCT) have a differentiation between powders and granules when the dose form is for oral use (but not for parenteral use), so could add this dose form to make the map if required; it fits the model

Add if/when required

8

13162000

Concentrate for cutaneous emulsion

Not Referenced





1237287002 | Concentrate for conventional release cutaneous solution (dose form) |

Make new map

MJO - mapped

9

13180000

Granules for prolonged-release oral suspension

Not Referenced

In scope



421446006 | Granules for prolonged-release oral suspension (dose form) |

Make new map

MJO - mapped

10

13159000

Eye drops, prolonged-release solution

Not Referenced





1279737007 | Prolonged-release solution for eye drops (dose form) |

Make new map

MJO - mapped

11

13175000

Prolonged-release chewable tablet

Not Referenced

In scope



Feedback from EDQM: This is a correct dose form; the tablet is chewed and breaks up into pieces that are swallowed.  These pieces have a formulation that gives the prolonged release characteristics, therefore this is a valid dose form and could be added to S-CT if/when required

Add if/when required

12

13176000

Powder for prolonged-release oral suspension

Not Referenced

In scope



As above (row 7)

Add if/when required

13

13167000

Oromucosal drops, emulsion

Not Referenced





As above (row 3)

Add if/when required

14

19186000

Implantation gel

Not Referenced





@Julie James (BW) Complex!  Is final administrable dose form when the two concepts below are mixed.....



15

13187000

Dispersion for implantation gel

Not Referenced









16

13188000

Solution for implantation gel

Not Referenced









17

13190000

Intracameral implant

Not Referenced





@Julie James (BW) We have 762071007 | Intraocular dose form (dose form) | and 3 children, then separately we have 764842006 | Prolonged-release ocular implant (dose form) | which is not mapped to EDQM (I think).  I suggest that we may wish to add these as children of the "intraocular" grouper
Does anybody know of an "ocular implant2 (not insert) that is "ocular" not "intraocular"?
Ocular - the eyeball - on or in; intraocular - "within" the eyeball

NI: Intracameral implant and Intravitreal implant added as directed

18

13191000

Intravitreal implant

Not Referenced





@Julie James (BW) As for intracameral



SNOMED Updates (Target) - July 2022 to January 2024

Inactivations in SNOMED CT (Select map targets if available)

#

ConceptId

Term

Status

Action / Plan

Discussion

#

ConceptId

Term

Status

Action / Plan

Discussion

1

840651000

 Conventional release chewable capsule (dose form) 

Not Referenced

No action

See https://request.ihtsdotools.org/#/requests/preview/766062?fromList=true request from  François Macary 

Hi François,

The existing Pharmaceutical dose form concept and the associated Clinical drug concept modeled using it have been inactivated and replaced because the requested changes for the Basic dose form would alter the meaning of the concepts.

The addition of an additional Administration method will be addressed at a later date; it is a change that needs to be done systematically for all affected concepts and also requires additional testing and perhaps a concept model change.

Kind regards,
Toni

2

421873001

 Conventional release oral cream (dose form) 

Not Referenced

No action

Looking in browser the inactivation target is 1217290000 |Conventional release oromucosal cream (dose form)|. Can see this was added based on a request from  François Macary referencing EDQM PDF mapping; e-prescribe; e-dispense: https://request.ihtsdotools.org/#/requests/preview/767928?fromList=true

3

783749008

 Conventional release oral ointment (dose form) 

Not Referenced

No Action

Inactivation target is 1217289009 |Conventional release oromucosal ointment (dose form)| that was added based on a request from  François Macary referencing EDQM PDF mapping; e-prescribe; e-dispense: https://request.ihtsdotools.org/#/requests/preview/767927?fromList=true

4

1231841006

 Porous impregnated material for conventional release vapor inhalation (dose form) 

Referenced

Update the map to use the new active pulmonary replacement dose form. 

Under discussion at Internal Editors Meeting

5

784575004

 Conventional release oral spray (dose form) 

Not Referenced

No action

Unsure why Toni inactivated but new concept requested by François Macary 1229934008 |Conventional release emulsion for oromucosal spray (dose form)|

https://request.ihtsdotools.org/#/requests/preview/769485?fromList=true

6

784576003

 Prolonged-release intrauterine drug delivery system (dose form) 

Not Referenced

No action

https://request.ihtsdotools.org/#/requests/preview/769521?fromList=true request from  François Macary 

Hi François,

Due to the types of changes being requested, the existing concept will be inactivated and replaced with a new concept instead of being updated.

Kind regards,
Toni



7

764799005

Conventional release suspension for infusion (dose form)

Not Referenced

No action



8

420430006

Lyophilized powder for prolonged-release suspension for injection (dose form)

Not Referenced


No action



9

421943006

Lyophilized powder for conventional release suspension for injection (dose form)

Not Referenced


No action



10

765056003

Lyophilized powder for conventional release solution for infusion (dose form)

Not Referenced


No action



11

421637006

Lyophilized powder for conventional release solution for injection (dose form)

Not Referenced


No action



New concepts in SNOMED CT (Candidates for creating new maps)

#

ConceptId

term

Status

Source

Action / Plan

#

ConceptId

term

Status

Source

Action / Plan

1

1237270004

 Concentrate for conventional release solution for peritoneal dialysis (dose form) 

 Not Referenced

Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

https://request.ihtsdotools.org/#/requests/preview/770954?fromList=true

EDQM: 50013250 - Concentrate for solution for peritoneal dialysis

Add to map

MJO - mapped

2

1287605002

 Conventional release solution for intraperitoneal instillation (dose form) 

 Not Referenced

https://request.ihtsdotools.org/#/requests/preview/776647?fromList=true 

https://www.hpra.ie/img/uploaded/swedocuments/Licence_PA22637-005-001_12062019164057.pdf

EDQM: 12111500 - Intraperitoneal solution

Add to map

MJO - mapped

3

1231815000

 Conventional release oral or pulmonary solution (dose form) 

 Not Referenced

Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):

https://request.ihtsdotools.org/#/requests/preview/764561?fromList=true

Inactivated - no new concept created as non-sensical dose form.



4

1237318003

 Concentrate for conventional release emulsion for cutaneous spray (dose form) 

 Referenced



No action required

5

1255299001

 Tablet for conventional release oromucosal solution for mouthwash (dose form) 

 Referenced



No action required

6

1237310005

 Concentrate for conventional release oromucosal solution for gargle (dose form) 

 Referenced



No action required

7

1255234008

 Conventional release suspension for infusion and/or injection (dose form) 

 Not Referenced

Probably added by Toni as part of project adding 'infusion and/or injection' groupers.

it is a grouper with two children and no references

Inactivate the concept.

NI: 20231117 Concept has been inactivated per this discussion. Suspensions not recommended for infusion and/or injection

8

1237287002

 Concentrate for conventional release cutaneous solution (dose form) 

 Referenced



No action required

9

1237289004

 Concentrate for conventional release oromucosal solution (dose form) 

 Referenced



No action required

10

1231816004

 Conventional release intravesical or parenteral or urethral solution (dose form) 

 Not Referenced

Request from François Macary referencing EDQM (DEUSG, EDQM PDF mapping):



Inactivate, replace, and add to map.

NI:20231117 Concept has been inactivated 1231816004 |Conventional release intravesical or parenteral or urethral solution (dose form)| and new concept created | 1297071006 |Conventional release intravesical solution and solution for injection (dose form)|

11

1237073006

 Prolonged-release intrauterine delivery system (dose form) 

 Referenced



No action required

12

1237274008

 Concentrate for conventional release dispersion for infusion and/or injection (dose form) 

 Not Referenced

Probably added by Toni as part of project adding 'infusion and/or injection' groupers.

Not in EDQM today.

No action required

13

1237285005

 Concentrate for conventional release emulsion for infusion and/or injection (dose form) 

 Not Referenced

Probably added by Toni as part of project adding 'infusion and/or injection' groupers.

Not in EDQM today.

No action required

14

1237267003

 Concentrate for conventional release solution for infusion (dose form) 

 Referenced



No action required

15

1237263004

 Concentrate for conventional release suspension for injection (dose form) 

 Referenced



No action required

16

1237288007

 Concentrate for conventional release intravesical solution (dose form) 

 Referenced



No action required

17

1237264005

 Concentrate for conventional release oral suspension (dose form) 

 Referenced



No action required

18

1269279001

 Porous impregnated material for conventional release oromucosal vapor inhalation (dose form) 

 Not Referenced

See above SNOMED updates

Inactivate.

NI:20231117 Concept has been inactivated

19

1237284009

 Concentrate for conventional release emulsion for infusion (dose form) 

 Referenced



No action required

20

1237266007

 Concentrate for conventional release rectal solution (dose form) 

 Not Referenced

Request from François Macary referencing EDQM:

https://request.ihtsdotools.org/#/requests/preview/770948?fromList=true

EDQM: 11008000 - Concentrate for rectal solution

Add to map

MJO - mapped

21

1237271000

 Concentrate for conventional release dispersion for injection (dose form) 

 Referenced



No action required

22

1237293005

 Concentrate for conventional release solution for nebulizer (dose form) 

 Referenced



No action required

23

1237265006

 Concentrate for conventional release oral solution (dose form) 

 Referenced



No action required

24

1255346009

 Conventional release intestinal gel (dose form) 

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