1. On examination (O/E) concepts Currently – 2,188 Follow the pattern: – On examination - color flushed (finding) – On examination - glass (prosthetic) eye (finding) – On examination - epistaxis (disorder) – On examination - false teeth (finding) Originally from Read codes in the UK, used in UK primary care systems at the moment (? New Zealand)

2. Why are they problematic? The concepts include context – on examination Problematic for implementers as HER context is also within the information model – confusing Double counting” – On examination - hypothermia (finding) SCTID: 274307008 – Hypothermia (finding) SCTID: 386689009 – Which one do you chose?

3. Proposal AIM - Inactivate all O/E concepts Ensure the base concept exists in the International Release (if not author) Follow a structured depreciation process (6 months consultation) Discussion with UK on possibly moving content to UK extension Target removal for the January 2017 International release