April 13, 2020 meeting minutes ECE Project Group

April 13, 2020 meeting minutes ECE Project Group





Date

Monday 2020-04-13

Repeats 2nd Monday of every month

Time: 20:00 UTC 



Invitees

@Bruce Goldberg
@Former user (Deleted)
@Jim Case
@Yongsheng Gao
@Phil Brown
@Former user (Deleted)
@Monica Harry
@Penni Hernandez
@Ed Cheetham
@David Robinson
@Rob Hausam
@Robert McClure
@Former user (Deleted)
@stefan.schulz
@Former user (Deleted)
@Daniel Karlsson
@Cathy Richardson 
@Krista Lilly 
@Nicola Ingram 
@Jeff Pierson 
@Former user (Deleted)



Apologies









General Comments



Item

Description

Owner

Item

Decisions

Item

Description

Owner

Item

Decisions

0

Reminder to record call

1

Welcome and role call

@Bruce Goldberg





3

Disorder due to disorder - due to vs explict statements in an axiom

@Bruce Goldberg, @Jim Case

  • Modeling complex statements with due to vs. explicit relationships

  • Due to complexity of determining exact nature of associations i.e. common pathological process, co-occurrence, causation, modeling templates for specific combined disorders may need to be created on an individual basis



3

Depositions

@Bruce Goldberg

  • Modeling of depositions

    • 46595003 |Deposition (morphologic abnormality)| has a parent of 107669003 |Degenerative abnormality (morphologic abnormality)|

  • Move 46595003 |Deposition (morphologic abnormality)| from under 107669003 |Degenerative abnormality (morphologic abnormality)| to 49755003 |Morphologically abnormal structure (morphologic abnormality)|

  • For depositions that are also degenerative morphologies, model the deposition morphology with Deposition (morphologic abnormality) and Degenerative abnormality (morphologic abnormality) parents

    @Bruce Goldberg to test and provide results for next EAG call

  • Consider renaming deposition morphologies as deposit morphologies

4

Retained foreign bodies events vs disorders

@Bruce Goldberg

  • Should retained foreign bodies be modeled as events or disorders?

  • Retire existing disorder concepts

  • Retain event concepts

  • Create new disorder concepts of the type Disorder due to foreign body left in Body Structure

  • Add an after relationship to surgical procedure when appropriate so that concept is subsumed by 385486001 |Postoperative complication (disorder)|

@Bruce Goldberg to prototype above

5

Exacerbation of X, X exacerbated by Y

@Bruce Goldberg

  • Need final agreement to implement proposed model

  • Activate unapproved concept, 410660005 |Aggravated by (attribute)| under 47429007 |Associated with (attribute)| as a sibling of 246075003 |Causative agent (attribute)|

  • Obtain approval from MAG

  • Notify @Yongsheng Gao and @Peter Williams to incorporate into MRCM

6

Rheumatoid arthritis

@Bruce Goldberg

  • New model for rheumatoid arthritis

  • Further discussion required as naming the systemic disorder as rheumatoid arthritis is confusing

@Bruce Goldberg to review Singh K, Al-Sadawi M, Ortega RR, et al. Interstitial Lung Disease as the Initial Manifestation of Rheumatoid Arthritis: A Case Report and Review of the Literature. American Journal of Medical to determine what prompted the ordering of RF prior to articular symptoms.

8

Pregnancy/labor/delivery function observables

@Bruce Goldberg

  • Proposal to inactivate these in favor of clinical findings

  • Tabled for a future call

9

Dupuytren disease and contracture

@Bruce Goldberg

  • Proposed modeled for Dupuytren disease and Dupuytren contracture

  • Model as shown on attached graphic:

10

AOB, adjourn

ALL

  • AOB

Next call TBD






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