Mental and Behavioural Health CRG

Date

16 April 2018

Item	Description	Owner	Notes	Action

Item	Description	Owner	Notes	Action
1	Mood disorder concepts	Piper Ranallo PhD	High level discussion of depressive and bipolar disorder concepts Discussed relationship between \|mood disorder of manic type\| and \|bipolar disorder\| Discussed need to clean up mixed episode concepts Discussed issue of combinatorial explosion in mood disorder hierarchy due to extensive precoordination of concepts and missing concepts that prevent creating the concept using post coordination Many specifiers (qualifiers) for mood disorders SNOMED concepts for many but not all possible combinations Concepts missing for many specifiers (qualifiers) Consequenty, there is no way to express many of the fully specified ICD-10 and DSM-5 mood disorders using SNOMED Discussed inconsistencies in fully specified names (FSNs) for mood disorders and need to standardize to reduce ambiguity	Piper Ranallo PhD will rework mood disorder diagram for group review on May 21, 2018 Piper Ranallo PhD will do SNOMED / DSM5 gap analysis for bipolar and major depressive disorder for review on May 21, 2018
2	Anxiety concepts	Former user (Deleted)	Presented matrix for distinguishing between anxiety-related concepts Anxiety Worry Fear Phobia Panic	Former user (Deleted) and Piper Ranallo PhD will convert the matrix to a diagram depicting how the matrix can be converted to concept definitions using the defining attributes identified in the matrix; for review on May 21, 2018