Psychosis (in process)

Psychosis (in process)

OVERVIEW

This page is used to organize CRG work on clinical findings and observable entities related to psychosis.





MAJOR FUNCTION, PROCESS, AND OTHER OBSERVABLE ENTITY CONCEPTS

Major Concepts

Commonly Used Terms

Working Definition

Major Concepts

Commonly Used Terms

Working Definition



















STAKEHOLDER GROUPS AND SUBJECT MATTER EXPERTS

Name

Type

Description

Notes

Name

Type

Description

Notes

























RESOURCES

Name

Type

Description

Notes

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

ICD-10, ICD-10-CM

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

ICD-11

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

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

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