Allergies/Hypersensitivity and Intolerance Clinical Reference Group

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Allergies/Hypersensitivity and Intolerance Clinical Reference Group

Date

April 10, 2018

Amba Charing Cross Hotel, London

Room: Watergate

Tue 10 Apr 2018 13:30 – 17:00 


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Meeting ID: 792 397 364


International numbers available:
https://zoom.us/u/dR98uoi9J

Invitees

Apologies

Discussion items

ItemDescriptionOwnerNotesAction
1Introductions and announcements

Bruce Goldberg, All



1Review of new allergy model

Bruce Goldberg

Review of approved enhancements for Hypersensitivity conditions model

Information only

2

Review of Allergy project and deliverables

Bruce Goldberg

Retirement of questionable groupers

/projects/ALLERGIES/issues/

https://docs.google.com/spreadsheets/d/137AGyhdvOSdTCSdfhpLcUWqEkfcfr0uT5f9WWrbCA2k/edit#gid=1704651182

3


BreakAll

4Allergy modeling issues

Bruce Goldberg

  1. Allergy to combination substances




  2. Allergy to material agents
  • Inadequacy of the current model in which allergy to x and y is subsumed by allergy to x and allergy to y and proposed model in which allergy to x and y is modeled using GCIs resulting in allergy to x and allergy to y being subsumed by allergy to x and y discussed
  • Allergy to combined substances should be modeled as allergy to combination products
  • A model for allergy to products will be developed dependent on new models for substances and products

  • Allergy to material agents including physical objects and living organisms should have a causative agent relationship to a substance derived from the material agent


5SNOMED CT and ICD-11 allergy content

Bruce Goldberg

Donna Morgan

  1. Review of issues with hypersensitivity/allergy representation in ICD-11
  2. Review of mapping work performed by Philip Brown and Dave Robinson
  • Organization of allergy/hypersensitivity content in the new allergy/hypersensitivity section of in ICD-11is problematic



  • Gap analysis of SNOMED CT-ICD-11 mapping revealed 10 potential additions to SNOMED CT
6

Other topics

Adjourn

All
  1. Allergen refset
  • Proposal around creating an allergen refset perhaps based on the 300 substances identified by Russell Leftwich requires further discussion as to clinical utility.

Meeting Files

  File Modified
PDF File SNOMED CT - ICD11 Harmonization v0.01 copy.pdf 2018-Apr-04 by Bruce Goldberg
Microsoft Powerpoint Presentation Allergy to substance modeling issues .pptx 2018-Apr-04 by Bruce Goldberg
Microsoft Powerpoint Presentation Comparison of allergy content between SNOMED CT and ICD-11.pptx 2018-Apr-04 by Bruce Goldberg
Microsoft Excel Spreadsheet ICD11_4A.xlsx 2018-Apr-04 by Bruce Goldberg
Microsoft Powerpoint Presentation Allergy model review.pptx 2018-Apr-10 by Bruce Goldberg


Previous Meetings

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