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Reminder to record call

1

Welcome and role call

Bruce Goldberg

• New member, Former user (Deleted)

2

Injury

Bruce Goldberg

• Follow-up - final models for injuries

• Information only. members asked to post any comments on this page

3

Review of models for hypersensitivity, autoimmune and allergic disorders 

Bruce Goldberg

• Request from authoring team to investigate the modeling of certain immune-mediated disorders with >1 pathological process

• Incremental implementation suggested

  • Initial steps:

    • Create new pathological process of immune hypersensitivity process

    • Define Immune hypersensitivity disorder by mechanism (rename to just  Immune hypersensitivity disorder) with above

    • New model for contact dermatitis using due to new event of topical exposure to substance

      • Allergic contact dermatitis:

        • isA Delayed hypersensitivity disorder 

        • isA Cell-mediated cytotoxic disorder

        • Clinical course delayed onset

        • Due to topical exposure to substance

        • After topical exposure to substance

        • Pathological process non-allergic hypersensitivity process

        • Inactivate contact hypersenitivity (qualifier value) hierarchy

      • Present above to EAG

4

Combined disorder modeling

Bruce Goldberg

• Due to vs. co-occurrent with - needs more discussion with regard to authoring templates

• Several examples presented.

• Difficulty in generalizing editorial guidance regarding co-occurrence vs. due to because dependent upon the specific relationship between the associated conditions which may vary for different concepts under a particular hierarchy based on the secondary condition

• Need to represent causality as well as temporal associations including co-occurrence was affirmed and thus the co-occurrent and due to pattern will be reinstated but the FSN will just state due to

5

AOB, adjourn

ALL

• AOB

• Topics for next call

  • Investigate making causative agent a subtype of due to

  • Follow-up of maternal and fetal periods - Phil Brown