Welcome and role call

• Welcome and roll call
  
  

Implementation Guide for Use of SNOMED CT in Documentation of Allergy, Non-allergic Hypersensitivity and Intolerance

• Implementation Guide for Use of SNOMED CT in Documentation of Allergy, Non-allergic Hypersensitivity and Intolerance - created in 2016 by implementation SIG
  
  • There is renewed interest in making this document publicly available
  • Needs review by this group and possibly update of content

  
  

  
  

• Includes the

• attached commentary regarding anesthetic agents requested from this group

• as well as a proposed hierarchy of contrast media agents
• The majority of the concepts related to "Allergy to role grouper" and "Allergy to structure + role grouper" have been inactivated for the July 2020 release in consultation with the Allergies CRG. The remaining concepts in the two categories noted above (~10) are planned to be modelled with "product representing role" and "product representing role + structure". There are two dependencies in making this change:
• EAG/MAG decision on how these concepts need to be classified--specifically where there is an intersection between substance and products (Yong's presentation will elaborate on this topic)
• Identifying the required sub-groups for a couple of role groupers, namely "Anesthetic" and "Contrast media" (Lists of proposed groupers have been submitted)

1. 373266007 |Anesthetic (substance)| identified as a role will be replaced by 5776009 |Medicinal product acting as anesthetic agent (product)|
2. Create the following as immediate children of 5776009 |Medicinal product acting as anesthetic agent (product)|.
   1. Medicinal product acting as general anesthetic (to replace 373288007 |General anesthetic (substance)|)
      1. Plays role (attribute) = General anesthetic therapeutic role (role)
   2. Medicinal product acting as local anesthetic (to replace 373477003 |Local anesthetic (substance)|
      1. Plays role (attribute) = Local anesthetic therapeutic role (role)
3. Create new product structure + role groupers as follows:
   1. Medicinal product with halogenated hydrocarbon structure acting as general anesthetic (is_a Medicinal product acting as general anesthetic)
   2. Medicinal product with amide structure acting as local anesthetic (is_a Medicinal product acting as local anesthetic)

Modeling of Allergy/Adverse reaction to substances/products

• Proposed models presented to EAG and MAG for modeling allergy to products including combination medications and vaccines

• AOB