Events, Conditions, Episodes Project Group meeting minutes 1-8-2018

Events, Conditions, Episodes Project Group meeting minutes 1-8-2018

Date

2018-1-8

Time: 21:00 UTC 

 

GoToMeeting Details

https://snomed.zoom.us/j/7065698062

Topic: Bruce Goldberg's Personal Meeting Room

Date: Jan 8, 2018 1:00 PM Pacific Time (US and Canada)

Recording-1 (109 MB)
https://snomed.zoom.us/recording/play/WTSYTmLP3e2-bMkCqwO6RxAU7wGMhWNXAWlDFdKXFdaaL1BRqf9BbjYHFEZ_a9uB

Attendees

@Bruce Goldberg
  • @Ed Cheetham

  • @Former user (Deleted)

  • @Phil Brown

  • @Jim Case

  • @Rob Hausam

  • @Penni Hernandez

  • @Former user (Deleted)

  • @Robert McClure

  • @Former user (Deleted)

  • @Yongsheng Gao

  • @stefan.schulz

  • @Monica Harry

  • @Former user (Deleted)

  • @Former user (Deleted)

Apologies

@Former user (Deleted)

 

General Comments

  • See agenda below

Item

Description

Owner

Item

Comments/Files

Item

Description

Owner

Item

Comments/Files

1

Welcome and role call

@Bruce Goldberg

 

 

2

Prosthetic joint infections and Procedures for disorders such as prosthetic joint infections

 

 

 

@Jim Case

@Bruce Goldberg

@Yongsheng Gao

 

 

 

 

 

See https://snomed.atlassian.net/wiki/display/shareit/52183307/TGB95f9cf5dca024d8f89783f75badb7a45ETT

  • Model representing prosthetic joint infections as infections of periprosthetic tissue associated with (colonized) prosthesis and Procedures "due to" periprosthetic joint infections as Procedure has focus periprosthetic joint infection approved by group

 

@Bruce Goldberg to write guidance on device infections under complications and sequelae section of editorial guidelines

4

Allergies

@Bruce Goldberg

  • Allergic disease model as an abnormal structure approved

  • Timeline for deliverables for 2018

    • Add Abnormal immune response, Immunoglobulin E mediated allergic process, non-Immunoglobulin E mediated allergic process and contact hypersensitivity process to pathological process (qualifier value) hierarchy

    • Identify and retire inappropriate groupers under allergy to substance hierarchy

    • Rename Pseudoallergy concepts as Non-allergic hypersensitivity

@Bruce Goldberg to test new pathological process allergic contact hypersensitivity process
@Bruce Goldberg to review modeling of Respiratory system (body site) and Respiratory tract (body site) as some allergy concepts inferring disorders of both.
@Bruce Goldberg to clean up timeline and send briefing document to @Jim Case



 

5

Modeling reactive arthritis

@Bruce Goldberg

 

  • Model distinguishing Reactive arthritis from postinfective arthritis and Reiter disease with creation of a new spondyloarthritis hierarchy approved by group

 

@Bruce Goldberg to revise editorial guidance with respect to use of simple co-occurrent pattern (in this case to define extraarticular manifestations of reactive arthritis)

6

Non metabolic complications of diabetes being subsumed by Abnormal metabolic state in diabetes mellitus (disorder)

@Bruce Goldberg

  • Agreement by group to retire 237620003 |Abnormal metabolic state in diabetes mellitus (disorder)|

  • Inferred children of above will need to be reviewed and most remodelled using co-occurrent and due to pattern

 



@Bruce Goldberg to write brieging document

7

Iatrogenic disorders

@Bruce Goldberg

Issues with 12456005 |Iatrogenic disorder (disorder)|

  • Primitive hierarchy.

  • Inconsistent assignment – many descendants are just complications of procedures. Many exiting complications of procedures might be considered iatrogenic.

  • What does iatrogenic mean – a complication of procedure with medico-legal implications?

  • Iatrogenic (pathological process) is not really a pathological process

  • ? need something like a process of origination attribute

  • Maybe create iatrogenic x as a primitive under x and retire Iatrogenic disorder hierarchy

@Bruce Goldberg to add discussion to tracker item (not a high priority)

8

AOB, adjourn

ALL

Next call Feb. 12, 2018 21:00 UTC

 

 


 

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