Closing Plenary April 2019 Business Meeting. Kelly Kuru April 10, 2019

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Closing Plenary April 2019 Business Meeting Kelly Kuru April 10, 2019

April 2019 Business Meeting Recap 180+ Delegates 26 Countries Represented Opening Plenary: Peter Rhijnbeek New Update Session Sessions: 7 project & working groups 7 governance meetings 6 clinical meetings 6 advisory group meetings Evaluation & Materials to be shared Friday

April 2019 Business Meeting Outcomes Project & Working Groups Clinical Reference Group Advisory Groups

Project & Working Group Outcomes Observables: Daniel Karlsson Almost concluded susceptibility observables Cognitive function observables, joint with MBH CRG, next steps identified Agreement of use of Observables model for international lab interoperability

Project & Working Group Outcomes Cancer Synoptic Reporting: Scott Campbell At request of of Canada, Sweden and UK - Synoptic observables and Nebraska Pathology Module content for colon cancer, breast cancer and melanoma submitted to SI for consideration for international adoption. Reviewed and discussed inception and elaboration with colon examples. Language refsets under consideration for French (Canada provinces of Quebec and New Brunswick) and Swedish. To be determined if these can be developed and complete by international adoption. Next worksheets Lung Cancer Prostate (Total prostatectomy) ICCR request Continue on with gastrointestinal tract cancers

Project & Working Group Outcomes Terminology Management Workshop: Rory Davidson A working group representing a cross-section of the community covered: free-flowing, open discussion on aspects of on-going 2020-2025 strategy options the technology details around validation as a service frequent releases The meeting will take place in Kuala Lumpur, please get in touch if you would like to be involved.

Project & Working Group Outcomes Events, Conditions & Episodes: Bruce Goldberg 409774005 Inflammatory morphology (morphologic abnormality) Effect of retiring 23583003 Inflammation (morphologic abnormality) resulting in various abscesses inheriting an inflammation (..itis ) parent discussed Impact of moving 44132006 Abscess (morphologic abnormality) from under 708039003 Inflammatory lesion (morphologic abnormality) to 4147007 Mass (morphologic abnormality) will require systematic review of subtypes of inflammation that need to be replaced or remodeled Need to review duplicates of inflammation and inflammatory morphology that may be referring to same thing. Editorial policy for simple co-occurrence Sepsis Appropriate for syndromes and manifestations of systemic disorders Create modeling template for 91302008 Sepsis (disorder) Remodel 371770009based on Sepsis 3 definition Remodel Endotoxemia (disorder) as a finding Inactivate (19) concepts containing septicemia in the FSN and (19) concepts contining Severe sepsis with acute organ dysfunction in the FSN

Clinical Reference Group Outcomes Allergy/Intolerance: Bruce Goldberg Need to interact with SNOMED on FHIR group with respect to allergy/intolerance with regards to Limited value sets containing content relevant to allergy/intolerance Differences in model between Hypersensitivity and Intolerance Relevant categories Project created to move Allergy to substance terms to other hierarchies if they do not represent true allergies

Clinical Reference Group Outcomes Pathology & Laboratory Medicine: Deborah Drake (Scott to Present) The focus on the meeting was on collaboration - developing use cases for microbiology (organism surveillance), and combined solutions potentially for blood sciences The members at the meeting committed to creation of a database of current areas of work / interest or priority within the IPaLM CRG area on confluence Members of the CRG are also going to collate usage statistics for blood sciences based on test codes used where available and inform work prioritisation The group supports the promotion of the cancer synoptic content to international The next meeting will be within the next 2 months and organised via confluence

Clinical Reference Group Outcomes Anesthesia: Andrew Marchant Discussed use of SNOMED for health issues and problem lists including anaesthesia at Salford Royal Hospitals Considered issues around clinical engagement and trying to encourage new members Presentation of SNOMED CT anaesthesia content and HL7 modelling work for anaesthesia records to Royal College and Association of Anaesthetists Discussions on definitions of coma and unconsciousness

Advisory Group Outcomes Content Managers: Cathy Richardson Continued discussion on: context values for actions administrative content Discussion on content submissions

Advisory Group Outcomes Modeling: Peter Williams DL Enhancements and OWL transformations Concrete Domains - solution roadmap Specific modelling considerations

Advisory Group Outcomes Terminology Release: Andrew Atkinson Global Patient Set (GPS) Use Cases, Scope of Content, Format, licensing Migration to OWL Trial results, Users readiness, Validation Frequent Delivery Planned frequency, Perception, Impact on Derivatives Spanish Edition change process presentation Agreement, further interest

Advisory Group Outcomes Editorial AG Major Topics: Jim Case Approved for testing: new modeling pattern for Traumatic injury Established a project group to discussion improvements to inactivation statuses and historical relationships Agreed to inactivate WAS A relationships from the International release Approved a way forward to address product roles in the medicinal product hierarchy Identified options to address the finding/disorder false dichotomy Developed a high level process to begin identification of the SNOMED CT Clinical core

Advisory Group Outcomes Tooling User: Terance Shird Members Managed Service Sub-Group Commence development of MS specific reports in the Reporting Platform Continue to develop use of Templates in the MS Authoring Platform (Sweden) Proof of Concept for simple request management (Denmark & Ireland) Tooling User Advisory Group Demo & Tooling Updates including Refset Hands On Session Updates on future tooling

Advisory Group Outcomes E-Learning Advisory Group: Linda Bird ELAG home http://snomed.org/elag Member education regional update New or planned SNOMED CT education activities Feedback on existing SNOMED CT E-Learning experiences National or regional SNOMED CT priorities Education collaboration or partnership opportunities SNOMED International update Foundation and implementation courses Authoring courses and certifications Education for developers and clinicians Other education activities

Thank-you for your continued support and commitment to SNOMED International and SNOMED CT. See you in Malaysia! 2020 April Business Meeting April 5th-8th, 2020: London, UK 19