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,

Intolerance to substance.pptx

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