1

Welcome and role call

BGO, all

2

ECE goals for 2017

BGO

• remediation of caused by pattern

• remediation of associated with pattern

• Complications of procedures

• Allergy editorial guidelines + revised models

• Secondary disorders

• Complex combined disorders (>3 conditions, combined conditions with procedures)

• 1500 concepts to be addressed for 2017

• 800 concepts with associated with in FSN to be addressed for 2017

• Complete testing and review of content for 2018

• Models require further discussion

• Ongoing for 2017

• Ongoing for 2017

3

Procedure complications and sequelae

BGO

• Model demonstrated in SCA

• Discussion surrounding the validity of a preoperative complication

• Next steps

• Descendants of Complication of procedure (disorder) modeled with after role inherit additional due to role from Complication of procedure (disorder). If these are considered to truly be complications as well as sequelae then Sequela (disorder) should be added as an additional parent and the FSN should perhaps also be revised to reflect this.

• Aspiration pneumonia resulting from a procedure (disorder). This is a complex concept containing a combined disorder (aspiration pneumonia=Pneumonia die to RG(associated morphology=inflammation and consolidation)+finding site=lung structure) which is due to an unspecified procedure. There needs to be a mechanism for associating the Due to roles separately for the procedure and the condition. A proposed model has due to procedure in role group 0 and due to the condition of aspiration pneumonia in a role group with the associated morphology and finding site. Editorial guidance in terms of which patterns identified in the FSN will require this approach needs to be developed. The impact of implementing this model will also need to be assessed.

• Feeling was that preoperative complication is a colloquialism used by anesthesiologists for preconditions that may influence the outcome of surgery assuming the surgery proceeds. We will not create a new class of preoperative complication

• Describe primary options and continue and test results with regard to how model impacts concepts higher up in hierarchy

• Priority - extend range of due to role to include procedures

4

Editorial guidelines for combined disorders

BGO

• Procedure complications

• Should procedures be a direct cause of their complications?

Example: Infection due to gastric band procedure. Is this correct?

Needs more discussion

5

Allergy content and substance hierarchy redesign

BGO, YGA

Review of allergy to x remediation project

• Question of whether proposed model, grouping causative agent with pathological process of allergic process and moving after-→allergic sensitization to role group 0 still captures the intended workaround for indirectly associating a causative agent with a disposition. An alternate model was proposed to change pathological process--→allergic process (qualifier value) to pathological process--→allergic sensitization process (qualifier value) in role group 1 and converting Allergic sensitization (disorder) from fully defined to primitive by removing pathological process--→allergic sensitization process (qualifier value)from the definition of Allergic sensitization (disorder). This latter recommendation is made in order for Allergy to X not to inherit, Allergic sensitization (disorder) as a parent.

Needs more discussion

7

AOB, adjourn

ALL

Next meeting to be held Jan. 9, 2017 at 2100 UTC