1

Welcome and role call

BGO, all

2

 Follow-up from April Business meeting

BGO

DKA and SSH

• Allergy model

•  

  • Use of towards attribute for allergy disposition
    
    
    

• Complications and sequelae (general)

• Pregnancy complications

• Device complications

• Allergy model approved

  • Proposed model for intolerance to substance using pathological process intolerance not accepted due to unclear interpretation of what an intolerance process represents (i.e. any pathological process that is currently not under the pathological process qualifier value hierarchy).

• Complications and sequela

  • Remodel existing content using temporal and causal relationships (and co-occurrence as appropriate)

  • Add parents of complication, sequelae (or both) for new submissions only if it is made clear by the requestor that these concepts are to be interpreted as such.

• Pregnancy complications

  • Add pregnancy time period under periods of life and use with occurrence role to model complications temporally related pregnancy e.g. antenatal complications

  • Model pregnancy complications as complicated pregnancy due to x and X complication due to pregnancy.

  • Retain 77386006 |Pregnant (finding)| as the target for due to relationships of the type X complication due to pregnancy and examine the descendants of 77386006 in order to determine if they should be moved elsewhere.

• Device complications

•  

  •  

    • Complications of device itself

      • Model as findings under Device problem/failure/ malfunction (new) under device status

    • Complications due to presence of device

      • Complication x due to device in situ

      • Complication x caused by device

      • Both may by needed based on device i.e. implanted vs. applied to body surface

• Hypersensitivity dispositions as clinical findings.pptx

• Intolerance to substance.pptx

• Additional temporal relationships, modeling of complications and sequelae.pptx

• Pregnancy complications.pptx

• Device complications.pptx

Exacerbation of/Exacerbated by

BGO

Continuing discussion of representation of exacerbated of/by...

• X-induced vs. X-exacerbated disease.pptx

Combined disorders/findings and events

BGO

Example: 104051000119105|Accidental needle stick with exposure to body fluids (disorder)

• My initial thought is to make these disorders and model as Exposure to body fluid co-occurrent and due to needle stick injury.

3

Exception to naming convention for combined disorders

BGO

There are some combined disorders that represent named syndromes where if one applies current naming conventions results in a loss of meaning in the FSN

Examples:

Aspirin exacerbated respiratory disease (AERD)

Current FSN: 10692681000119108 |Disorder of respiratory system exacerbated by aspirin (disorder)|

Definition: Nasal polyps, chronic rhino-sinusitis, asthma made worse by NDAIDs

Diabetic mastopathy

Current FSN (suggested): Disorder of breast co-occurrent and due to diabetes mellitus (disorder)

Definition: Inflammation and fibrosis of breast due to type I diabetes mellitus

Proposal: For certain combined disorders with common names that are accepted clinical parlance and that represent specific pathophysiologic entities, those names will be used as the FSN rather than following the naming conventions for combined disorders.

4

AOB, adjourn

ALL

• Next meeting May 22, 2017 2100 UTC