Allergies/Hypersensitivity and Intolerance Clinical Reference Group

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Date

Thursday, August 9, 2018

Schedule
2nd Thursday of every month
Time: 19:30 UTC


GoToMeeting Details

https://snomed.zoom.us/my/allergycrg


Meeting ID: 733 996 0359

International numbers available: https://snomed.zoom.us/zoomconference?m=EochJjO8ozm1ZiDr_x9p-bFJCbIBwgqV

Attendees

Apologies


Objectives

  • See discussion items below:

Discussion items

ItemDescriptionOwnerNotesAction
1Welcome and role call

Bruce Goldberg


  •  
2New membership

Bruce Goldberg, ALL

  • Dr. Eric Macy, Allergist, Kaiser-Permanente, San Diego Medical Center
  • Tony Dilks, Clinical Strategist, FDB (First Databank Europe Ltd)

Jane Millar to reach out to WAO (from list I provided to her) in order to recruit additional members


  • New members introduced to group
  • Bruce Goldberg has reached out to Dr. Magnus Borres for help in recruiting members of WAO/EAAACI involved in allergy nomenclature


3Redesigning the allergy module of the electronic health recordEric Macy

Eric Macy presented an article he published on allergy documentation in an EHR in 2016 in the Annals of Allergy

He views the hierarchical relationships as:

Intolerance

  1. Hypersensitivity
    1. Immediate (allergy) - IgE, IgG, complement mediated, direct/indirect mast cell activation
    2. Delayed - T-cell mediated
    3. SCARs
    4. Organ-specific reactions
  2. Contraindication
  3. Patient preference
  4. Adverse effect


  • Need to recruit members from the WAO/EAAACI nomenclature committee re. opinion on on Eric Macy's proposal

4Intolerance to substance

Bruce Goldberg

Bruce Goldberg presented an analysis of the discrepancies between the definitions of hypersensitivity, allergy and intolerance of various standards (FHIR, WAO/EAAACI,

Intolerance to substance.pptx

5Allergy dispositions

Bruce Goldberg

  • Add: allergy to alpha-gal (galactose-alpha-1,3-galactose) - red meat allergy
6Topics for next meeting

Bruce Goldberg

  • Follow-up on Intolerance/hypersensitivity/allergy organization
  • Review of proposed allergic disorder hierarchy
  • Review of op 300 allergen list if available
  • Should allergy to substance X be converted to Propensity to adverse reactions to X or Intolerance to X while retain only those Allergy to X concepts that are true allergies?

7Next call

Bruce Goldberg

Next call will be held on Thursday September 13, 2018 19:30 UTC


Meeting Files

  File Modified
Microsoft Powerpoint Presentation Redesigning the allergy module of the electronic health 8-9-2018.pptx 2018-Aug-09 by Bruce Goldberg
Microsoft Powerpoint Presentation Allergy update.pptx 2018-Aug-09 by Bruce Goldberg
Microsoft Word Document Feedback from FDB re retiring of substance groupers.docx 2018-Aug-09 by Bruce Goldberg
PDF File EHR_Editorial Annals of Allergy 6-2016.pdf 2018-Aug-09 by Bruce Goldberg
Microsoft Powerpoint Presentation Intolerance to substance.pptx 2018-Aug-09 by Bruce Goldberg


Previous Meetings

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