NAME

AFFILIATION

E-MAIL

Bruce Goldberg

KP

bruce.j.goldberg@kp.org

Penni Hernandez

SNOMED

phe@snomed.org

Paul Amos*

SNOMED

pam@snomed.org

Yongsheng Gao

SNOMED

yga@ihtsdo.org

Dr. Ramamurthiju Janakara Venkata

General delegate, India

Ramamurthiju@gmail.com

Jim Campbell

University of Nebraska

campbell@unmc.edu

Ivy Lt

Singapore

ivyliyn@ihis.com.sg

Hanafiah Mohammad

General delegate Strateq, My

mhanafiah@strateqgroup.com

Monica Harry

SNOMED

mha@snomed.org

Stefan Schultz

University of Graz

steschu@gmail.com

Jeff Pierson

IMO

jpierson@imo-online.com

Andy Kanter

IMO

akanter@imo-online.com

Jim Case

SNOMED

jca@snomed.org

Toni Morrison

SNOMED

tmo@snomed.org

1

Welcome and role call

@Bruce Goldberg

2

Complication model revisited

@Bruce Goldberg

Consistency of applying appropriate model is being questioned

• Complication model revisited.pptx
  
  

1. Remove complication parent from concepts of the form X (disorder) due to Y (disorder)

2. @Bruce Goldberg to test new model for Complication of procedure using unapproved Complication (attribute) attribute.
   
   

3

Manifestations of multisystem disorders

@Bruce Goldberg

Using simple co-occurrence vs. a parent specific for a systemic manifestation of a multisystem disease (e.g. extrarticular rheumatoid arthritis)

• Modeling manifestations of multisystem inflammatory disorders.pptx

1. Model manifestations of multisystem inflammatory disorders as shown below for rheumatoid carditis

Open

3

Genetics model of disease causality 

@Jim Campbell

@Jim Campbell to present work he has done on linking genetic diseases to a causal mutation

• Genomic Causation in Disease20191028.pptx

1. @Jim Campbell to develop prototype for a model to extend the SNOMED CT concept model  for defining the molecular/genetic etiology of disease, ideally linking to scientific ontologies such as Human Genome Nomenclature and Uniprot in the SNOMED stated form employing additional OWL axioms. 

5

New model for sequelae

@Bruce Goldberg

@Yongsheng Gao

Proposal for new model for sequelae based on GCIs

• Proposed model for 362977000 Sequela using GCIs.pptx

1. Agreement on modeling 362977000 |Sequela (disorder)|using GCIs

2. Sequela of procedures will be modeled using both due to after relationships

   1. Exception is perioperative complications which are modeled as after 387713003 |Surgical procedure (procedure)| but without a due to relationship to 387713003 |Surgical procedure (procedure)|

   2. @Bruce Goldberg to test above model

3. @Bruce Goldberg to test alternate model for X due to and after Y using a new combined attribute of Due to and after (attribute)

6

Pregnancy/labor/delivery function observables

@Bruce Goldberg

Proposal to inactivate these in favor of clinical findings

• Pregnancy_labor_delivery_ puerperium function observables.pptx

1. Tabled due to lack of time

8

Injuries

@Bruce Goldberg

Further refinements of injury model

• Injuries revised.pptx

1. Traumatic injuries can be modeled as due to 773760007 |Traumatic event (event)|

2. Nontraumatic injuries can be modeled as due to 789750003 |Spontaneous event (event)|

3. No decision made for how to model injuries that are unspecified as to whether traumatic or nontraumatic and can be both

   1. Suggestion made to retain 37782003 |Damage (morphologic abnormality)| hierachy and review for appropriate descendants

   2. Difficulty in defining injury/damage remains challenging

• What is an injury.pdf

9

Fractures

@Bruce Goldberg

Further refinements of fracture model

• Fractures_final.pptx

1. See above as relates to traumatic, pathologic and unspecified fractures.

11

Dupuytren disease and contracture

@Bruce Goldberg

Proposed modeled for Dupuytren disease and Dupuytren contracture

• Dupuytren disease and contracture.pptx

1. Tabled due to lack of time

12

Use of multiple due tos/causative agents

@Bruce Goldberg

Is it appropriate to use multiple due tos and/or causative agents relationships to represent causal chains

• Multiple due tos.pptx

Example : 717946000 |Megaloblastic anemia due to vitamin B12 deficiency secondary to intestinal disease (disorder)|

Current model:

Open

Proposed model:

Create Vitamin B12 deficiency due to intestinal disease (disorder)

then 717946000 |Megaloblastic anemia due to vitamin B12 deficiency secondary to intestinal disease (disorder)|

isA 53165003 |Megaloblastic anemia (disorder)|

due to Vitamin B12 deficiency due to intestinal disease (disorder)

13

Bullet points

@Bruce Goldberg

All

• Bullet points ECE.docx