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| 1 | Welcome | @Cathy Richardson | 5 mins | Attendees list Introductions Note: The meeting will be recorded for the purpose of creating minutes. The recording of meeting will be available online to the SNOMED International community of practice until minutes are approved. Joining the meeting by accepting the Zoom prompt declares that you have no objection to your comments being recorded
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| 2 | Administration | @Cathy Richardson | 5 mins | | |
| 3 | Content Tracker Status | @Cathy Richardson | | | |
| 4 | CMAG - profile and activity | @Cathy Richardson @Monica Harry | 10 mins | A presentation was given to the MF in August 2024, MSUG - October 2024 with the aim to raise the profile of the CMAG and the purpose of the group. We've had two countries put forward representatives following the presentation. Looking to increase our meeting frequency - support goal of increased group effectiveness and output Two face to face (April, October), Four virtual (Early February, June, Late August, Early December)
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| 5 | Terms of Reference | @Cathy Richardson | 10 mins | Terms of Reference have been updated - changes explained as noted on slide in slide deck. A draft has been attached. Group comments sought. Nil at the meeting. Group asked to provide feedback by 20th November.
| Terms of Reference Review Action Item |
| 6 | Introducing the Modelling Forum | @Cathy Richardson | 10 mins | | |
| 7 | Reactivation in an extension - international concept | @Cathy Richardson | 10 mins | Presentation (included in the slide deck) on guidance for reactivation of an inactivated International concept within an extension creation of an historical association between the extension concept (where it is used as a replacement) and the inactivated international concept.
Guidance has been added to the Extensions Practical Guide Thank you to the UK for providing the information on their process for reactivation. Discussion on potential for reactivation in more than one extension - we wouldn't know if this occurred. The multi browser could be checked. Query on how the Managed Service Authoring Platform and multi browser would work if reactivated in more than one extension. There are still technical aspects in relation to this to clarify. If SNOMED International reactivate a concept we think it is the most recent effective time that is used. This will be confirmed.
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| 8 | National content work | Group | 30 mins | Update from CMAG members on upcoming national content activities and advice on past work which may be of interest to others National Content Development Activities Netherlands Sectors to implement SNOMED - nursing, primary care, Allied health (paramedics, physiotherapists, dieticians), prevention for youth care - (social care, vaccinations, environmental, child development) mental health and hospitals. Expecting request for content in these areas. For hospitals there is already a lot of diagnosis and procedure concepts and are planning to promote that relevant to other countries. Working on allergies, substances, patient friendly terms, synoptic reporting, lab codes, European patient summary. ICF is important for the paramedics.
UK (GE) Request received from Genomics, England to add genes to SNOMED - over 4000. Work being scoped but not clear if they should be added at this point. Imaging procedures. UK has a separate terminology for imaging called NICIP - they are currently mapped to SNOMED but not all 1 to 1. A lot of content is lateralised in NICIP but not in SNOMED. A content work proposal for (about 600 lateralised) concepts is being/has been submitted to SNOMED International. Pathology - improving modelling of observables modelling. Discussions with others to ensure work isn't being duplicated.
Norway (TA) Heavy reliance on mapping SNOMED, ICD and ICPC2. Creating a handbook on how to start big projects in mapping. Significant work occurring in nursing content development. Have promoted some concepts to International Edition. Translation of nutrition refset. See overlap between this and nursing. Request for fetal diagnostics - lack about 380 concepts. Exist as congenital content but not fetal. Request from a local region to look at the definition of pain. Looking to see if others have received a request in this area. Mental health Work on drug content.
US (JS) Gravity project (SDOH) - utilities work. Discussions on difference between insecurity and poverty. Poverty more acceptable internationally. SOGI content. Request to come for about 12 concepts for promotion from Canada. Also some clean up requests in this area in the international. Laboratory specimen condition and rejection reasons.
NZ (LM) Health service type reference set - adding patient friendly and Te Reo Māori terms. Working with Cancer control agency - new concepts for histology, topography, grading and staging.
Other countries - please see Denmarks new pregnancy work file. (EW) For those working in Mental Health, the MABH CRG would be interested in what you are working on.
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| 9 | 2025 CMAG Work Plan | Group | 10 mins | | CMAG 2025 Work Plan |
| 10 | Other business | | | (JS) - presentation on how to submit a content proposal for larger work items and the internal processes to have these evaluated. Finding/disorder boundary had been raised outside of the meeting by Belgium. Both items will be added to the December agenda.
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| 11 | Next Meeting | @Cathy Richardson | | | |