Management of subset status - NHS Digital Groups

SCCI - UKTC Edition
Committee - Sept 2015
Discussion
Mike Cooke & Ian Arrowsmith
1
Agenda
•
•
•
•
•
Why are we here at SCCI?
UKTC EdComm remit/relationships
Relationships
Editorial Principles
Queries:
–
–
–
–
Terminology or NHS DD or ODS or other
Case law vs Principles
Innovation (chicken & egg)
Approvals process(datasets/codes)
• Options/Proposals
UKTC Governance - Relationships
Informal/advisory
relationship
UKTC Governance inter-relationships
Formal/constitutional
relationship
UKTC Governance
Board
IHTSDO
UKTC Edition
Committee
UKTC Implementation
Forum
UKTC
Management
Team
Remit of UKTC Edition Committee
• Arbitrate on editorial issues arising from escalations from
customers and operational team
• Make recommendations to UKTC Governance Board on all
issues and policies related to the UK Edition of SNOMED CT
• Assist with the prioritisation of major work items from national
centre, UK Countries and working groups
• Assure fitness for purpose and usability of UKTC and
IHTSDO products
• Engage with IHTSDO structures and officers, by contributing
to the workings of the project groups/committees.
• Recommend the establishment of working groups to deliver
identified appropriate work packages
• Act as advisors to UKTC Governance Board for stage
approval of products subject to the UKTC Product
Development Lifecycle.
http://systems.hscic.gov.uk/data/uktc/snomed/governance/uktcedcomm
Editorial Principles
Downloaded via TRUD at
https://isd.hscic.gov.uk/trud3/user/guest/grou
p/0/home
Soon to be available from
http://systems.hscic.gov.uk/data/uktc/snomed
/governance/uktcedcomm
What goes where?
Case study: 2011 Census ethnic categories.
• Request by Scotland
• UKTC team asked for EdComm opinion
• EdComm debated should it be in
terminology and referred to Gov Board
• Gov board asked for suggestion on how
could ethnic categories be modelled to
cater for UK wide census ethnic categories
• Reviewed and agreed by EdComm
Case law vs principles
Just because something exists in the
terminology products before the development
of a set of Editorial principles does that mean
new cases should also be added?
Innovation (
)
• New products, services, drugs, assessment tools,
processes, targets being defined
• Need to measure their uptake and effectiveness
• No one wants to create new datasets/dataflows
• Ideally capture via existing flows
• One of the best ways of doing this is via new codes
• Issues:
–
–
–
–
Sometimes its not clear what codes are required
They are usually required ‘yesterday’
Things are likely to change during rollout
If requested by ‘suppliers’ then may lead to competitive
advantage
– Once used in systems …..
• UKTC investigating ways these issues maybe overcome in
the terminology space
Approvals process ‘scheduling’ and ‘updating’
• SCCI timetable vs
• UKTC production/release timetable vs
• political/ clinical imperatives
• SNOMED CT is updated every 6 months
• Subsets can be specified as ‘intensional
definitions’ (queries) so that updates can
be invisible/automatic
Proposals/options
• SNOMED CT training session for SCCI
members
– Editorial rules
– Subsets
– Relationship to classifications and other
codes/code schemes
• Opportunity to use UKTC governance to
complement SCCI governance
– ‘difficult’ referrals to Ed Comm
– Participation of Ed Comm or UKTC
representative on SCCI Board