Allergies/Hypersensitivity and Intolerance Clinical Reference Group

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Date

2017

2018-

12

1-

14

11

Schedule

2nd Thursday of every month 

Time:

21

20:00 UTC 


 

GoToMeeting Details

Team Calendars
idf03dac40-28cc-463a-95c2-a84f3f0595ff

 https://snomed.zoom.us/my/allergycrg

Invitees

Apologies

General Comments

See agenda below

Item

Description

Owner

Item

Discussion/Actions

1

Welcome and role call
BGO, all

 


2

The Patient Care Workgroup in HL7 has over the past 3 years assembled a database of over 100 million allergy list entries from several US sources: VA, Kaiser, Cerner, Optum.   One of the things we found was that less than 300 drugs account for ~95 % of the entries.    

Russell Leftwich



3Review of NCPDP Interoperable Medication Allergy Class starter set

Bruce Goldberg

Kin-Wah Fung

20110522._NCPDP_AllergyClass_Recommendation_to_ONC-NCVHS.pdf


4

Review of allergen classes and questionable allergen groupers in allergy to substance hierarchy

BGO
I am posting 2 files created by the allergy update project for review by our group. The first file contains a list of allergen/pseudoallergen classes. We wish to solicit input from this group as to whether these need to be retained in the revisions to the substance hierarchy. Note that the use of allergen classes (as opposed to just substances) has been used only infrequently for the modeling of allergies. The second file lists all of the descendants of allergic disposition and some questionable groupers which we need to determine clinical relevance for in order to guide the modeling of the causative agents in the substance hierachy
Allergen Groupers in Substance Hierarchy.xlsx

Continuing review of questionable allergy to substance groupers in SNOMED CT

Allergic disposition descendants.xlsx



3

Updates to model of allergic disease

BGO
  • Treat allergic diseases as pathological structures and model with a role group containing: associated morphology+finding site+causative agent+pathological process=allergic process
  • Approval to initially add additional allergic processes of IgE-mediated allergic process, non-IgE mediated allergic process and contact hypersensitivity process
  • Bruce Goldberg to test addition of additional pathological processes corresponding to Gell and Coomb's hypersensitivity mechanisms in order to full define allergic disorders by mechanism
4

6

Adjourn
BGO
  • AOB