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SNOMED Submission Process Draft Outline

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How is it Determined When a Content Change for SNOMED- is Needed?

  • Replacing HL7 internally created and curated content. (i.e. When an existing HL7 value set (or a constraint) is converted to SNOMED-CT content)
  • Is all or part of this content request contained in within SNOMED? - ADD TO HARMONIZATION CHECKLIST?
  • When a value set is proposed that is only partially covered by SNOMED-CT and the requestor is a licensed SNOMED-CT user but does not have a national release center (i.e. if you have a national release center that is the organization to which applications for code extensions should be made).

How is it Determined that a Given Request is Valid for Submission?

  • Is the content domain valid for SNOMED
  • Is the request provided in such a way that the intent of the request can be ascertained?
  • Is there a justification or rationale provided for the content request?
  • Is the content request of the appropriate granularity?
  • Is the requested content parent in the appropriate SNOMED hierarchy?
  • Is the content requested in the appropriate location within the hierarchy? (i.e. does an appropriate parent concept exist?)
  • Does the concept already exist in SNOMED?
  • Is the requested content a synonym for an existing concept?
  • Is the requested content change ambiguous?
  • Are there at least two Realms that will support the proposed content change request?

How are Request Submissions Packaged?

  • CONSIDERATION: "Related" content changes should be packaged together and submitted as a whole.
  • CONSIDERATION: Multiple unrelated content changes should be submitted separately
  • CONSIDERATION: Should HL7 obtain its own SNOMED namespace?

Who within HL7 can Request a SNOMED Submission

Who within HL7 can Submit a SNOMED Submission

Who within HL7 is responsible for Managing SNOMED Submissions

Who can Validate Domain Specific Requests?

  • Clinical review is necessary to validate content.

What is the Communication Plan in HL7 wrt the Status of Requests

  • If content change requests are rejected, how to communicate the information to the proponent to ensure it the change request is captured in the proponent's international extension?

When

Where