2021-11-01 - MBH-CRG Meeting

1

Authoring changes completed since last meeting.

@Piper Ranallo PhD @Elaine Wooler

1. Mental handicap content has been inactivated and replaced with content referring to intellectual disability.

2. 1402001 | Fear (finding) and 367545001 | Fearful mood (finding) - actions completed as agreed at meeting 4 October.

2

Review:

• 28116007 |Passivity of drive (finding)|

  • 247693009 |Delusion of control of handwriting (finding)|

  • 247692004 |Delusion of control of voice (finding)|

  • 247691006 |Delusion of replacement of will by external force (finding)|

• 281143003 |Passivity of affect (finding)|

• 247694003 |Passivity of volitional acts (finding)|

@Piper Ranallo PhD @Elaine Wooler

28116007 |Passivity of drive (finding)| is a subtype of 2073000 |Delusions (finding)| and has the following synonyms:

• Delusion of being controlled

• Delusion of replacement of will

• Passivity experience

ICD-11 refers to, Experience of influence, passivity and control with the description:

The experience that one's feelings, impulses, thoughts, bodily functions, or behaviour are under the control of another person or other external force instead of under one's own control. These experiences may or may not be accompanied by a delusional belief that provides an explanation for the subjective experience.  There is a specific exclusion for Delusion of being controlled.

https://icd.who.int/dev11/f/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f1705252140

https://icd.who.int/dev11/f/en#http%3a%2f%2fid.who.int%2ficd%2fentity%2f1240694797

Questions: 

• Do clinicians need to be able to record passivity that is non-delusional and passivity that is delusional so are two distinct concepts needed in a similar way to ICD-11 e.g. Passivity of drive (finding) remove synonyms referring to delusion and create new concept - Delusion of being controlled (finding)

• Does 247691006 |Delusion of replacement of will by external force (finding)| have the same meaning as Delusion of being controlled?

Related content:

281143003 |Passivity of affect (finding)| is a subtype of 416383008 |Abnormal affect (finding)| with no reference to delusion.

247694003 |Passivity of volitional acts (finding)| has synonym - Delusion of control of actions.  It is a subtype of 106131003 |Mood finding (finding)|

Questions:  If these are still used can they also be delusional and non-delusional.

3

Question from Nutrition Care Process Terminology Clinical Project group

@Elaine Wooler

The nutrition counseling concepts that are associated with theories/models were discussed at their last meeting. They discovered in the process was a question about whether 441201000124108 |Counseling about nutrition using cognitive-behavioral theoretical approach (procedure)| Is A 228557008 |Cognitive and behavioral therapy (regime/therapy)|.  It is not currently a subtype of this.

4

Concepts in the perception hierarchy that may not be perception.

@Piper Ranallo PhD

Group to review the content provided by Piper - 66 concepts.  Those highlighted in yellow need further discussion as may or may not involve perception.

https://docs.google.com/spreadsheets/d/12SsyrEc7AF3my7HmsgTYlPxM080ru6eoNNT6oQaK_Us/edit?usp=sharing