SNOMED Change Requests: Issues and Discussion

Issue 1: Determination of Needed Concepts

How will the proposed policy support determining what concept changes or additions are required to SNOMED.

Issue 2: Evaluation of Existing SNOMED Content

How can the HL7 process ensure that sufficient due diligence and analysis has been performed on the existing SNOMED content.

Is the requested content already represented? If so, is it just represented in a context different than what was expected?

Issue 3: International Versus Realm Specific Usage

How can the HL7 policy make a clear delineation between International vs. Realm specific change requests? Can (or should) the HL7 process be used to support Realm specific requests that would be funneled through a National Release Center (NRC)? Should the HL7 process be used to vet the change requests and direct Realm specific changes to the appropriate NRC?

Issue 5: Fully Modeled vs. only Term + Definition Submission

Should the process require fully modeled changes, term plus definition, or both?