Substance Use, Misuse, Abuse (in process)
OVERVIEW
This page is used to organize CRG work on clinical findings and observable entities related to substance use, misuse, and abuse.
Concepts within the scope of this work include:
Concepts related to the substances themselves (substance, illegal substance, controlled substance, psychoactive substance, recreational drug, street drug, prescription drug, etc.)
Concepts related to way in which the substance is used (substance use, substance misuse, substance abuse, recreational substance use, illegal substance use)
Concepts related to medical, social, and legal norms about appropriate use of a substance (prescription substance abuse, use of an illegal substance)
MAJOR FUNCTION, PROCESS, AND OTHER OBSERVABLE ENTITY CONCEPTS
Major Concepts | Commonly Used Terms | Working Definitions | Example |
|---|---|---|---|
Substance | substance, drug, medication | ||
Psychoactive substance | |||
Prescribed substance | |||
Controlled substance | |||
Substance of abuse | Any substance commonly used for a reason other than prevention or treatment of a health condition. | ||
Use of substance | taking medication, use of medication, taking drugs, using drugs, substance use, | Any use of a substance. | |
Use of substance for reason other than prescribed health indication | Use of a substance for a reason other prevention or treatment a health condition. | ||
Misuse and/or abuse of substance | problem drug use, substance abuse | ||
Substance addiction | chemical dependency, | ||
Use of substance in a place or context prohibited by law | Drinking alcohol while driving, smoking a cigarette in the bathroom on an airplane, | ||
Use of a substance in a manner prohibited by law | |||
Under the influence of a substance in a place or context that is prohibited by law | Driving while under the influence of alcohol, performing surgery while under the influence of alcohol |
STAKEHOLDER GROUPS AND SUBJECT MATTER EXPERTS
Name | Type | Description | Notes |
|---|---|---|---|
Professional Society (International) | |||
International Society of Substance Use Professionals (ISSUP) | Professional Society (International) | ||
National Government (North America, US) | |||
Substance Abuse and Mental Health Services Administration (SAMHSA) | National Government (North America, US) | ||
Professional Society (North America, US) | |||
European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) | Regional Organization (Western Europe) | scientific publications, best practices, guidelines, early warning system on new psychoactive substances, databases | |
World Health Organization (WHO) Alcohol, Drugs and Addictive Behaviours Unit Topics: Substance Abuse | International |
RESOURCES
TERMINOLOGIES AND ONTOLOGIES
Name | Type | Description | Notes |
|---|---|---|---|
DSM-I, DSM-II, DSM-III, DSM-III-R, DSM-IV, DSM-IV-R | Nosology | Previous editions of the the Diagnostic and Statistical Manual of Mental Disorders (DSM) | Useful for understanding the evolution concepts and specific terms used at different points in time |
DSM-5, DSM-5 SCID | Nosology | Current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) | Useful for understanding terms and concepts as they are currently designed to be used by clinicians |
Nosology | Preview editions of the the International Classification of Disorders (ICD) | Useful for understanding the evolution concepts and specific terms used at different points in time | |
Nosology | Current edition of the the International Classification of Disorders (ICD) | Useful for understanding terms and concepts as they are currently designed to be used by clinicians | |
UMLS | Meta-Terminology | Unified Medical Language System (UMLS) |
PROJECT MILESTONES AND STATUS
Objective | Action Item | |
|---|---|---|
| 1 | Define scope of work | Identify the major concept(s) around which to organize a manageable project (scope of work) (artifact: mabh-crg concept plan) Complete the major concept table and iteratively update as project progresses (CRG to finalize the definition for SNOMED once all research has been completed) |
| 2 | Understand uses cases | Identify any non-standard use cases or pain points in research domain (artifact: mabh-crg use case document) Identify any non-standard use cases or pain points in clinical domain (artifact: mabh-crg use case document) |
| 3 | Understand major conceptualizations of the concept | Perform environmental scan to identify major theoretical models of construct/concept domain (artifact: mabh-crg theoretical model document) Perform environmental scan to identify disorders and clinical variables relevant to the concept domain (artifact: mabh-crg clinical model document) Perform environmental scan to identify existing explicit representations of concepts in the domain in terminologies (nomenclatures, nosologies, classification systems, controlled vocabularies, and ontologies) (artifact: mabh-crg umls analysis matrix, mabh-crg terminology matrix) |
| 4 | Establish contact with key stakeholders and other potential project contributors | Perform and environmental scan to Identify key stakeholders in the basic research, clinical research, clinical practice, and patient advocacy domain (artifact: mabh-crg stakeholder document) Create and implement a plan for engaging stakeholders willing to participate in the CRG for the duration of the specific concept review, either on calls or via discussion forum, or to provide the following: Stakeholder experience related to specific pain points or use cases in the domain Copies or screenshots of note templates, clinical notes, flowsheets, order sets, research protocols, other |
| 5 | Understand how concepts in the domain are currently represented in SNOMED | Review concepts in observable entity hierarchy Create dot diagram of current state Create observable entity spreadsheet Review concepts in clinical finding hierarchy Create dot diagram of current state Create observable entity spreadsheet |
| 6 | Perform gap analysis | Analyze concepts in observable entity hierarchy Create observable entity spreadsheet Create dot diagram of current state Perform review of dot diagram to identify potential duplicate, outdated, missing or inaccurately modeled concepts Update spreadsheet with changes including all defining relationships Analyze concepts in clinical finding hierarchy Create observable entity spreadsheet Create dot diagram of current state Perform review of dot diagram to identify potential duplicate, outdated, missing or inaccurately modeled concepts Update spreadsheet with additions or changes to concepts, including all defining relationships Identify missing concepts in other hierarchies (e.g., qualifier value, body structure) required to completely and accurately model observable entity and clinical finding concepts Create explicit, narrative definitions for all concepts |
| 7 | Create new and modify existing concepts in SNOMED | Submit request for changes through CRS system or via template worksheet |
| 8 | Disseminate information about changes to SNOMED for concepts in the domain |
LINKS TO SITE MATERIALS
WORK PAGES
DISCUSSION THREADS
GRAPHICS AND GLOSSARIES
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