2023-07-26 - MBH-CRG Meeting

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Request for promotion of 288511000119108 |Chronic mood disorder (disorder)| from the US extension. 

This concept subsumes 45 concepts if you look here - https://browser.ihtsdotools.org/?perspective=full&conceptId1=288511000119108&edition=MAIN/SNOMEDCT-US&release=&languages=en

John asked for review by the group as we think this may be an outdated concept

@Elaine Wooler will talk with @John Snyder regarding US v  International editions

Consider nuanced differences between terms:

• persistent v. chronic

• intermittent v recurrent

existing qualifiers: 'transient" per @Ed Cheetham 

@Ed Cheetham  - is there value in having this higher level concept of "chronic' ?

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 General mental state

Obtain consensus on inactivation of concepts:

• 247571009 | General mental state (observable entity) |

• 365928004 | General mental state finding (finding) |

• Determine appropriate parent concept(s) for the following child concepts

  Cooperative mental state (finding) => Cooperative behavior (finding) and Cooperative attitude (finding) and Co-operative character (finding)

  Inadequate personality (finding)  (AMBIGUOUS, OUTDATED), look also at passive character (finding) 

  Mental health problem (finding) IS-A problem (finding) 

@Former user (Deleted)

Andrew Williams - could this be used for a higher level general observation, i.e., , gestalt impression of a patient or something like a general clinical impression (finding)  ?

• @Former user (Deleted) - come up with an explicit definition for "state"

  • when would we use the term or concept of state

  • when we would not use the concept of state

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Organic disorder

What is the definition of 'organic'? Only disorders caused by a biomedical condition or also disorders caused by a substance (i.e., a known or presumed physiological mechanism v. an unknown mechanism)

DSM5: Mental disorder due to another medical condition: There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct pathophysiological consequence of another medical condition

ICD11 Secondary mental or behavioural disorder: "syndromes characterised by the presence of prominent psychological or behavioural symptoms judged to be direct pathophysiological consequences of a medical condition not classified under mental and behavioural disorders"

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Date and Time of next meeting:  23rd August 4.00pm UTC