[event start=“2020-12-07 22:00” status=“standalone” end=“2020-12-07 23:00”]
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Thanks everyone for attending today’s session - here are slides for the topics I presented
Apologies i couldn’t make this. Are there more presentations lined up?
a couple of questions on slide 31:
Assume this is the core patient dataset?
Problems / Conditions are difficult to nail down: Manageable refset(s) would be great. SNOMED Disorders will not cover everything though (e.g. Symptoms prior to established diagnosis)
What about miscellaneous warnings such as those currently in national MWS? e.g. child protection, etc.
Medication Allergies/ADRs - we need a reliable set of drug allergy/ADR groups, mapped to NZULM concepts, to enable ADR alerting
Further issue with Problem disorder refsets is helping clinicians and applications make the right choices as to when they need to do coordinated expressions e.g. laterality (L/R) applies to some disorders (which eye, knee, etc), but not others
There will always be this “Phrase Book v Dictionary” trade-off when using Reference Sets - particularly fixed (extensional) lists, as opposed to query-based (intensional) sets.
Miscellaneous warnings is an interesting topic - someone asked me recently about “access to firearms”; that’s certainly worthy of a warning, but does that fit into a medical ontology such as the SNOMED CT Concept Model?
Ideally, allergies and intolerances, would be linked to the SCT Substance Hierarchy, rather than NZULM concepts- mapping the NZULM Substance Table to SCT would be a good move in that direction.
Post-coordination is currently being discussed in some depth by the SNOMED International Languages Group. The underlying complexity is vast (MRCM, OWL, Role Grouping, Classifiers etc) - even for lateralizing body parts - and it’s very hard to see anyone getting this right without tooling.