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Mental and Behavioural Health CRG

Date

26 June 2023

Discussion items

ItemDescriptionOwnerNotesAction
1

Obtain consensus on inactivation of concepts:

  • 247571009 | General mental state (observable entity) |
  • 365928004 | General mental state finding (finding) |
  • Michael First - come up with an explicit definition for "state", when would we use the term or concept of state and when we would not use the concept of state
  • Cooperative mental state (find) = 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  • Inadequate personality (finding)  (AMBIGUOUS, OUTDATED), look also at passive character (finding) 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) 
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2

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)




2

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John asked for review by the group as we think this may be an outdated concept





Phobia as a finding and Phobia as a disorder

Fear and avoidance of X (finding) v. Fear and avoidance of X causing distress or dysfunction (disorder) 

Discussions - Mental and Behavioural Health Clinical Reference Group - SNOMED Confluence (ihtsdotools.org)

Was there any decision on the recommendation at the top of the document?

  • previous meeting notes:
  • Recommendation: determine whether a phobia is always and necessarily a disorder. If so, then the concept phobia (finding) is should be inactivated as erroneous, and all non-phobia findings and disorders under this concept should be remodeled (moved) to have the appropriate parent(s).









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