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•  Approve minutes from 06/27/2016
  
  

Policy on addition of assessment tool responses to the International edition.

IHTSDO currently accepts "names" of assessment instruments and staging scales; however, there is nothing in the editorial guide that specifically addresses the responses to assessment instrument questions. As many of these are extremely context dependent, being tied specifically to the particular instrument, what should be the policy of IHTSDO to requests to add assessment instrument responses to the International release.

Example: Requests to add responses to Tinetti balance assessment tool

During the congenital disease revision project, it was determined that the differentiating feature of Developmental anomalies vs. acquired anomalies was the process/origin of the anomaly. Historicvally this resulted in the creation of the Developmental anomaly (morphologic abnormality) subhierarchy which essentially duplicates content within the Morphologically abnormal structure hierarchy with only the addition of "Congenital". This has caused substantial issues with the Congenital disease revision project. The following is proposed:

1. In order to inactivate the “Congenital X (morphologic abnormality)” subhierarchy, must have a way to identify the non-congenital morphologies as a result of a developmental process.  The new proposed model is that the range for PATHOLOGICAL PROCESS be expanded to include “Pathological development process”(existing concept not in approved range).  This relationship would only be used where the abnormality is the direct result of abnormal development.  The primary use would be for children of “Congenital malformation”.
2. Congenital deformities, which may not be the result of a developmental process (mechanical or traumatic), would not have the PATHOLOGICAL PROCESS relationship added.
3. Concepts that currently have the ASSOCIATED MORPHOLOGY = Developmental anomaly would be replaced with a relationship group of ASSOCIATED MORPHOLOGY =  “Morphologically abnormal structure” and PATHOLOGICAL PROCESS = “Pathological developmental process”.

This has been preliminarily tested and no unexpected, untoward or erroneous inferences were identified.

Idiopathic disease is currently a primitive concept that is inconsistently used. As a working definition, Idiopathic = "relating to or denoting any disease or condition that arises spontaneously or for which the cause is unknown." While it is arguable that Idiopathic is a "process" per se, one could equate it to "unidentified process" that has clinical value. There are currently around 200 concepts with Idiopathic in one or more descriptions (IHTSDO-799).

Propose to test the extension of the range of PATHOLOGICAL PROCESS to include

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We are meeting for a full day in New Zealand. Need substantive topics to move forward.

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JCA is traveling Sept 10-23. Meeting scheduled for Sept 26