2026-06-25: DEUSG Virtual

2026-06-25: DEUSG Virtual

Meeting Details

Date & Time: 25th June 2026, 11am UTC

Objectives

  • Users' discussions about the SNOMED International Drug Model and National Drug Extension Model.

Zoom Link

Link: DEUSG Zoom Meeting Link

Meeting Recording

Link: Zoom Meeting Recording

Passcode: T^7HtLe0

Attendees:

Shane Byrnes, Alejandro Lopez Osornio, Yongsheng Gao, Monica Harry, Nicola Ingram, Ana Paredes, Elisabeth Serrot, Emma Melhuish, Francois Lavioe, Hanne Johansen, Jaya Sonavane, Jerry O’Sullivan, Justin Stout, Karen Rees, Laura Solana, Linda Bird, Melanie Fysentzou, Nick McGraw, Noelle Horan, Paul Wright, Stuart Abbott, Guillermo Reynoso, Shane Doyle

Discussion items:                                                           

Description

Mins

Owner

Notes & Actions

Description

Mins

Owner

Notes & Actions

1

Opening

2 min

Alejandro & Shane

Welcome & Notification of Recording

2

Update on Strength Rounding

5 min

Yongsheng

Current steps -> Submit requirements on forums -> BN

 

 

3

Review and Discussion of Topic backlog

30 min

Alejandro / Yongsheng / Karen

  • Hydrated substances / PAI:

    • SNOMED core - represent here or not?

    • Logical change to enable classification of extension real clinical drugs under core (add property chain, implemented in CA)

  • Substances link to Organism → Ongoing piloting then moving forward for implementation

  • Dose Form after Transformation -> Ongoing testing and moving forward for implementation

    • +Attributes for Administrable dose form

  • Product with no active ingredient / Inert Products → finalise solution arising from April meeting

  • Promotion of more clinical drugs to core (topic more towards Oct meeting) - collecting Ireland, Norway, Argentina, RxNorm, dm+d cross validation.

  • Routes of Administration and EDQM Alignment: Please feedback on Forums post: https://forums.snomed.org/t/routes-of-administration-and-edqm-alignment/1399

  • Dose forms undergoing multiple transformation steps: https://forums.snomed.org/t/about-manufactured-dose-forms-and-clinical-drugs/1352

4

AOB

10 min

 

 

5

Summer Break

5 min

Alejandro

Regroup 10th September

Zoom AI generated summary of the meeting

Zoom AI generated summary of the meeting

 Summary

Strength Rounding Requirements Update

SI Team provided an update on strength rounding requirements, presenting a draft matrix that maps various requirements to proposed solutions including scientific approaches from Canada and Australia, multiple axioms, and reduced fraction representation. He requested team members to contribute their requirements to the forum discussion to help create a more comprehensive briefing note.

Hydrated Substances System Implementation

The group discussed implementing hydrated substances and PAI in the system, with members explaining that while the solution approach is sound, it requires testing feedback from extensions where it is used like CA, before moving forward. Members outlined proposal to promote attributes from Canada extension to enable better classification of clinical drugs, noting this would address technical debt and content issues. SI team emphasized the need for further discussion about whether the Canadian new attributes should be a subtype, modification, or sibling, and highlighted the potential to deliver this through batch promotion of substance modeling for hydration.

Form Modeling and Attribute Updates

The team discussed ongoing work on modeling forms after transformation, with plans to test new attributes in the International Edition before promoting changes to production. They debated whether to introduce new attributes for administrative DOS forms, with members arguing for more precision in modeling the actual administered form rather than the manufacturer's form. The group also reviewed the approach for products with no active ingredients, confirming a previously agreed solution and noting the need to update editorial guidance to help extensions follow the same approach.

MRCM Implementation Guidance Discussion

SI Team and members discussed the need for editorial guidance on implementing MRCM changes, particularly regarding how to document different implementation scenarios and usage cases. Members shared insights from research across different countries, noting that Argentina is most aligned with international release followed by Canada, Norway, and Ireland, with Ireland using less granular clinical drugs and different approaches to presentation strength versus concentration strength. The team identified challenges with content coordination across countries releasing simultaneously and discussed the need for better collaboration and versioning mechanisms to avoid duplication and improve interoperability.

Drug Classification Hierarchy Review

UK raised a question about the naming of the substance hierarchy for non-steroidal anti-inflammatory drugs, particularly regarding sulfasalazine's classification, and proposed submitting a CRS request for further review. SI team agreed to investigate the issue in depth.

Canadas first publication of their Drug Extension was noted and major accomplishment for Canada, and all team members involved congratulated.

Alejandro announced that the group would take a break during the summer months with no live meetings scheduled for July and August, and planned to reconvene in September with the hope of publishing a new implementation guide for the drug model.

 

 

 

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