Allergy CRG meeting minutes for August 9, 2018

1

Welcome and role call

Bruce Goldberg

2

New membership

Bruce Goldberg, ALL

• Dr. Eric Macy, Allergist, Kaiser-Permanente, San Diego Medical Center

• Tony Dilks, Clinical Strategist, FDB (First Databank Europe Ltd)

Jane Millar to reach out to WAO (from list I provided to her) in order to recruit additional members

3

Redesigning the allergy module of the electronic health record

Former user (Deleted)

Former user (Deleted) presented an article he published on allergy documentation in an EHR in 2016 in the Annals of Allergy

He views the hierarchical relationships as:

Intolerance

1. Hypersensitivity

   1. Immediate (allergy) - IgE, IgG, complement mediated, direct/indirect mast cell activation

   2. Delayed - T-cell mediated

   3. SCARs

   4. Organ-specific reactions

2. Contraindication

3. Patient preference

4. Adverse effect

4

Intolerance to substance

Bruce Goldberg

Bruce Goldberg presented an analysis of the discrepancies between the definitions of hypersensitivity, allergy and intolerance of various standards (FHIR, WAO/EAAACI,

5

Allergy dispositions

Bruce Goldberg

• Add: allergy to alpha-gal (galactose-alpha-1,3-galactose) - red meat allergy

6

Topics for next meeting

Bruce Goldberg

• Follow-up on Intolerance/hypersensitivity/allergy organization

• Review of proposed allergic disorder hierarchy

• Review of op 300 allergen list if available

• Should allergy to substance X be converted to Propensity to adverse reactions to X or Intolerance to X while retain only those Allergy to X concepts that are true allergies?

7

Next call

Bruce Goldberg

Next call will be held on Thursday September 13, 2018 19:30 UTC