1

Welcome and role call

@Bruce Goldberg

2

Sepsis

@Bruce Goldberg

@Yongsheng Gao

1. Model with pathological process - dysregulated host response

2. Should this be multiple organ dysfunction co-occurrent and due to infection?  

1. Agreement to add dysregulated host response as a pathological process.

2. Agreement not to add pathological process infectious process which would result in sepsis being defined as organ dysfunction syndrome co-occurrent and due to infectious disease.

• Model as above in SCA
  
  

• Add text definition of sepsis from Sepsis-3

• Remove synonym of systemic infection

3

2018 goals and deliverables

@Bruce Goldberg

Review of goals and deliverables for 2018

Approved with addition of diabetes complications under domain specific guidelines

4

At risk of, low risk 

@Rob Hausam

@stefan.schulz

@Rob Hausam asking for advice from @stefan.schulz and this group on ontological aspects of proposed models for risk as part of consultant terminologist project

Tabled for a future meeting as @Rob Hausam and @stefan.schulz not in attendance

5

Allergies

@Bruce Goldberg

1. Allergic diseases model

2. Moving allergic condition and dispositions directly under clinical finding – briefing document 

• Allergy model briefing document approved.

• Treat allergic diseases as pathological structures and model with a role group containing: associated morphology+finding site+causative agent+pathological process=allergic process

• Approval to initially add additional allergic processes of IgE-mediated allergic process, non-IgE mediated allergic process and contact hypersensitivity process

6

Issues with some combined disorder concepts

@Bruce Goldberg

@Monica Harry

1. These are the FSNs we have come across so far which are questionable.  

   1. Arthropathy of spinal facet joint co-occurrent and due to effusion (disorder) 

   2. Arthropathy caused by virus due to and following virus infection (disorder) 

   3. Acute lung injury during and following administration of blood product (disorder) 

1. Arthropathy caused by virus due to and following virus infection (disorder) 

2. Acute lung injury during and following administration of blood product (disorder) 

@Penni Hernandez and @Former user (Deleted) to research history of these ICD-11 terms. They will need to be remodeled.

7

Test of device complications

@Bruce Goldberg

Test of model for device complications that are findings related to issues with device itself

Proposed model for equipment/device problems will enable defining of a large number of currently primitive concepts

Additional testing required along with testing of Complications of device presence and procedure

8

AOB, adjourn

ALL

Items for next call

1. Further testing of exacerbated by - @Bruce Goldberg 

2. Fetal-maternal modeling – @Bruce Goldberg, @Phil Brown

Next call Monday January 8, 2018 at 21:00 UTC.

• Note no call in December as 4th Monday is Christmas day