1

Welcome and role call

Bruce Goldberg

2

Complicated by/complicating

Bruce Goldberg

• Discuss meaning and modeling of concepts named as X complicated by Y and X complicating Y

• The majority of today's meeting was devoted to this topic

• Decisions reached:

  • Measles complications

    1. Retire

       111872008 |Post measles encephalitis (disorder)|maybeA 416154000 |Measles inclusion body encephalitis (disorder)|and 192685000 |Subacute sclerosing panencephalitis (disorder)|

    2. 186561002 |Measles complicated by meningitis (disorder)|

       1. Retire as ambiguous and replace with 230146001 |Post measles meningitis (disorder)|

       2. Remodel 230146001 |Post measles meningitis (disorder)|with parents of 362977000 |Sequela (disorder)|and 116223007 |Complication (disorder)|

    3. 13420004 |Post measles otitis media (disorder)| (Measles complicated by otitis media is a synonym)

       1. Remove synonym of Measles complicated by otitis media

       2. Add parents of 362977000 |Sequela (disorder)|and 116223007 |Complication (disorder)|and causative agent 409822003 |Superkingdom Bacteria (organism)|

    4. 195900001 |Pneumonia co-occurrent and due to measles (disorder)|

    5. Retire as ambiguous MaybeA 233625007 |Giant cell pneumonia (disorder)|and MaybeA 191727003 |Post measles pneumonia (disorder)|

  • Labor and delivery complicated by X

    1. Model as isA 362972006 |Disorder of labor / delivery (disorder)| due to X (disorder)

    2. Discussion around need to be able to represent Labor and delivery and similar concepts as as processes or events

  • Induced termination of pregnancy complicated by Y

    1. Interpret induced termination of pregnancy as 714812005 |Induced termination of pregnancy (procedure)| rather than 57797005 |Induced termination of pregnancy (disorder)|

    2. Model as X following or due to and following induced termination of pregnancy 

  • X complicating pregnancy, childbirth and the puerperium 

    1. Model as simple co-occurrence

  • X complicating disorder/procedure Y

    1. Model as X due to or due to and following Y disorder -------or--------

    2. As due to or due to and following Y procedure

    3. Problematic concepts

       1. 109814008 Acute ulcerative gastroenteritis complicating pneumonia (disorder)

       2. 40470007 Hemorrhage AND/OR hematoma complicating procedure (disorder) - Cathy Richardson working on. May retire.

40470007 Hemorrhage AND/OR hematoma complicating procedure (disorder)

3

Secondary disorders

Bruce Goldberg

• Estimate scope of current content (excluding secondary malignancies, secondary syphilis, etc.)

• Determine usage at KP

• Test affect of inactivating secondary X (disorder)

Defer to a future meeting

4

Injuries

Bruce Goldberg

• Modeling Non-traumatic injuries

Defer to a future meeting

5

Sepsis

Bruce Goldberg

• Additional refinement of model

Defer to a future meeting

6

Editorial policy for simple co-occurrence

Bruce Goldberg

Proposed policy for when to allow precoordinated X with Y content

Defer to a future meeting

7

Iatrogenic disorder

Bruce Goldberg, Phil Brown

Follow-up on Phil Brown's proposal for modeling iatrogenic disorders including definitions

Defer to a future meeting

8

X due to/following Y

Bruce Goldberg

Terming of concepts modeled using "after" attribute

• Reason for naming concepts modeled using after relationships (or due to and after relationships) as (due to and) following not clear. Group felt no need to change existing naming conventions.

9

AOB, adjourn

ALL

No meeting next month

Deferred topics will be brought to EAG call in March and next ECE meeting to be held face to face in London

For all future ECE calls pleas use this URL: https://snomed.zoom.us/j/586788252