1. SCCI - UKTC Edition Committee - Sept 2015 Discussion Mike Cooke & Ian Arrowsmith 1

2. 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

3. UKTC Governance - Relationships

4. 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

5. 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

6. 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

7. 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?

8. 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

9. 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

10. 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