Terminologies de la Sante

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What is the Health Terminologies Community?

The Health Terminologies Community is a place to share and learn about new and existing implementations of, and updates to, health-related terminologies, terminology subsets, and classification systems used in Canada.

Members actively contribute to discussions and share information and advice related to the implementation, development, maintenance, and use of multiple vocabularies in various health-related projects.

This community is responsive to its membership, actively encouraging, welcoming, and relying on the submission of discussion topics, agenda items, and other items such as education and vendor engagement from its members.

The community will engage and collaborate with other groups or InfoCentral communities on broader related topics when relevant.

Major reference terminologies and classification systems of interest include, but are not limited to:

SNOMED CT
LOINC/pCLOCD
CCDD (Canadian Clinical Drug Dataset)
ICD-10-CA
ATC

Canada Health Infoway is the National Release Centre (NRC) for SNOMED CT, pCLOCD, and HL7 in Canada.

The Canadian Institute for Health Information (CIHI) is responsible for the development and publication of ICD-10-CA (the Canadian modification of ICD-10), as well as CCI (Canadian Classification of Health Interventions).

To become a member of this community select Join Group in the Group Menu.

If you have an idea for a community, working group, or project that will drive interoperability forward, let us know! Send your suggestions to standards@infoway-inforoute.ca.

CO-LEADERS

Alana Lane, Subject Matter Expert, Classifications and Terminologies, Canadian Institute for Health Information
Anil Patel, Senior Standards Specialist, Marketing and Engagement, Canada Health Infoway

Activité

Kelly Davison a lancé une nouvelle discussion dans le groupe Health Terminologies

SNOMED CT: Duplicate concepts in the CT imaging hierarchy: please review

Greetings folks. Please find a briefing note or the Editorial Advisory Group .... This note includes context and a request for a use case for continued support of duplicate combined procedure concepts such as 418487002 |Computed tomography and drainage of chest (procedure)| (combined procedures) 439476007 |Drainage of thorax using computed tomography guidance (procedure)|. If there are no supporting use cases, proposal is to inactivate. Example: 418487002 |Computed tomography and drainage of chest (procedure)| Inactivate as Duplicate/Same as 439476007 |Drainage of thorax using computed tomography guidance (procedure)| Email Monica Harry at mharry@snomed.org by April 30, 2021 and please cc standards@infoway-inforoute.ca Kind regards, Kelly Davison, CTSS Senior Specialist, Standards Canada Health Infoway

Alana Lane a lancé une nouvelle discussion dans le groupe Health Terminologies

HTC Monthly Meeting Material April 20, 2021

Hello, Thank you all for attending the April 20, 2021, HTC Meeting. The materials for the meeting can be found in the document folder (Meeting materials). Topics included: Introduction to Social Determinants of Health (SODH) - ... Update on the SNOMED CT Mapping Tool - .... Update on terminology courses available through CHIMA. (https://www.echima.ca/product-category/learn/professional-development-type/professional-development-type-courses/) Thank you to Marcy Antonio from U.Vic and Kelly Davison for presenting. A reminder that the next meeting will be held on May 18, 2021. Please feel free to forward registration for this event to those in your networks you feel would benefit from attending this meeting. If you have a topic or update to share we would be happy to hear from you and invite you to contact us. Thank you Alana and Anil

Finnie Flores a répondu au cours d'une discussion dans le groupe Health Terminologies

Ethnicity and race-related concepts, terms and value sets

Hi Sheridan, Clean up of Ethnicity in SNOMED CT is not part of the work that CIHI is doing with Infoway at the moment. Our focus has been to support Race/Racialized Group and Indigenous Identity. As noted, CIHI do not currently have a proposed list of values for Ethnicity. Finnie

Sheridan Cook a répondu au cours d'une discussion dans le groupe Health Terminologies

Ethnicity and race-related concepts, terms and value sets

A separation of race and ethnicity extensions in the CA Baseline profiles would be in alignment to the evolution we're seeing from the US Core profiles. US Core has the race extension(https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-race.html) which includes a slice on extension for representing OMB Federal Collection codes for race category (e.g., American Indian or Alaska Native) and a slice for detailed race codes (e.g., Cherokee Shawnee) US Core Ethnicity Extension(https://build.fhir.org/ig/HL7/US-Core-R4/StructureDefinition-us-core-ethnicity.html) was also updated to have similar slices - OMB category code (e.g., Hispanic or Latino) and a detailed ethnicity code pulled from a CDC value set (e.g., Belearic Islander). I'm not suggesting we adopt their codes or value sets when we have our own policies and coding systems here in Canada, but it may be a approach to consider when trying to distinguish different value sets for different reporting purposes. Before we included a Race extension in the Baseline and update the ethnicity extension to remove any codes that are actually considered more appropriate for race/racialized groups , we'd want a clear consensus from the community about the value set that is: 1) expected to be used here in Canada and, 2) in alignment to the recommendations outlined in Canadian proposed standards. Finnie - does the work with Infoway you mentioned include cleaning up existing ethnicity value sets that blend racialized group concepts with ethnicity concepts? Is this an expected concern?

Finnie Flores a répondu au cours d'une discussion dans le groupe Health Terminologies

Ethnicity and race-related concepts, terms and value sets

Apologies: Here is the link to CIHI's Reference Data Model (CRDM) https://www.cihi.ca/sites/default/files/document/cihi-reference-data-model-toolkit-en.pdf

Finnie Flores a répondu au cours d'une discussion dans le groupe Health Terminologies

Ethnicity and race-related concepts, terms and value sets

Hi Francis, Thanks for your post. Just want to provide further info... The CIHI document referenced on your post provides a distinction between Ethnicity and Race (please see glossary on p. 17 for description/definition). Currently, it does not provide a proposed list of values for Ethnicity but it does for Race and Indigenous Identity https://www.cihi.ca/sites/default/files/document/proposed-standard-for-race-based-data-en.pdf. Given that there is a distinction between Ethnicity and Race, and since the FHIR CA Core only has Ethnicity as an extension, it will likely require an extension to support Race as well. To note, CIHI's Reference Data Model (CRDM) http://cihighway/crdm_toolkit_en.pdf provides the SNOMED CT codes for the values for Race/Racialized Group (p. 91-92) and we are currently working with Infoway to assign SNOMED CT codes for the values for Indigenous Identity (p. 67). Hope this helps. Finnie

Francis Lau a lancé une nouvelle discussion dans le groupe Health Terminologies

Ethnicity and race-related concepts, terms and value sets

Hi all, at today's Health Terminologies Community meeting, Marcy Antonio from UVic did a short presentation of ongoing and upcoming work in social determinants of health (SDOH). There were some discussion and questions about race and ethnicity coding, which I will summarise here and invite people to comment: CIHI has published a set of proposed race-based and indigenous identity data collection standards in July 2020 - see page 6 in https://www.cihi.ca/en/proposed-standards-for-race-based-and-indigenous-identity-data The Canadian FHIR community has published a set of Canadian FHIR Baseline Profiles (CA-Core) - see https://simplifier.net/CanadianFHIRBaselineProfilesCA-Core/~introduction In the CA-Core Patient Profile there is an extension element for ethnicity (but not race) - see https://simplifier.net/canadianfhirbaselineprofilesca-core/patientprofile If you look at the ethnicity extension, its mappings make references to HL7v2.PID.22 Ethnic Group and rim:Person.ethnicGroupCode If you look at the CDC value sets for Ethnic Group it contains H-Hispanic or Latino, N-Not Hispanic or Latino, U-Unknown as the values - see https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.6066 If you look at the HL7v2 table 0189 for Ethnic group is has the same value set - https://www.hl7.org/fhir/v2/0189/index.html But if you look at the value sets listed in CA-Core there is one for EthnicityCode based on SNOMED CT codes -see https://simplifier.net/canadianfhirbaselineprofilesca-core/ethnicitycode So my question to the FHIR and HTC members is - How do we reconcile between the proposed CIHI race based standards and the CA-Core, since there are overlaps? Do we just create another extension called race in the Patient Profile in CA-Core? sorry for the cross-posting Thanks -Francis

Forum

Kelly Davison

Déconnecté(e)

SNOMED CT: Duplicate concepts in the CT imaging hierarchy: please review 04/21/21

Alana Lane

Déconnecté(e)

HTC Monthly Meeting Material April 20, 2021 04/21/21

Finnie Flores

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Ethnicity and race-related concepts, terms and value sets 04/20/21

Sheridan Cook

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Ethnicity and race-related concepts, terms and value sets 04/20/21

Finnie Flores

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Ethnicity and race-related concepts, terms and value sets 04/20/21

Apologies: Here is the link to CIHI's Reference Data Model (CRDM) https://www.cihi.ca/sites/default/files/document/cihi-reference-data-model-toolkit-en.pdf

Finnie Flores

Connecté(e)

Ethnicity and race-related concepts, terms and value sets 04/20/21

Francis Lau

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Ethnicity and race-related concepts, terms and value sets 04/20/21

Alana Lane

Déconnecté(e)

HTC Monthly Meeting Reminder and Agenda - April 20, 2021 04/14/21

A reminder to join us on Tuesday, April 20 at 11 am ET for our regular monthly HTC meeting. This month's agenda will provide some updates on the SNOMED CT Mapping tool, CHIMA Courses in relation to terminologies, and introduce a new Social Determ...

Alana Lane

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HTC Monthly Meeting Reminder and Agenda - April 20, 2021 04/14/21

Linda Parisien

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SNOMED CT April Research Webinar 04/08/21

Please join us on Wednesday, April 28, 2021 at 17 UTC/1pm EST for a SNOMED CT Research Webinar featuring Dr. Rachel Richesson who will be presenting, Using SNOMED CT relationships for data exploration and discovery in rare diseases – An example in ur...

Anil Patel

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Annual Subset maintenance release March 2021 03/31/21

As part of our annual Subset maintenance cycle, Infoway released updated versions of Subsets Release details for the release are available ... on InfoScribe.

Kelly Davison

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The SNOMED CT March 2021 CA Edition is now available in the SNOMED International Browser! 03/31/21

Infoway is proud to announce that the March 2021 Canadian Edition, including CA French and CA English SNOMED CT® terms, is now available in the SNOMED International Browser. Stakeholders are invited to ...

Kelly Davison

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March 2021 release of the Canadian Edition of SNOMED CT now available! 03/31/21

Infoway’s bi-annual release of the Canadian Edition of SNOMED CT®( English and French) is now available. This latest release aligns with the SNOMED International January 2021 release. New concepts and descriptions have been created to support Can...

Kelly Davison

Déconnecté(e)

SNOMED International April 2021 Business Meetings: Deadline for Welcome Pack is this Wednesday 03/30/21

A message from SNOMED International: Dear SNOMED CT Community Members, We are busy preparing the welcome packages for the forthcoming ... and would like to remind you that this Wednesday (March 31st) is the deadline for ensuring you are on the...

Andrea MacLean

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SNOMED International seeking Canadian input about Collaborations: Orphanet, LOINC and GMDN: March 25 03/22/21

SNOMED International is seeking Canadian input in the following three areas: Oprhanet, LOINC and GMDN. Would you please respond directly to Suzy (email listed below) and please feel free to copy standards@infoway-inforoute.ca so that we too are in...

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