Allergies/Hypersensitivity and Intolerance Clinical Reference Group

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Date

Thursday, August 9, 2018

Schedule
2nd Thursday of every month
Time: 1920:30 00 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

Invitees

Apologies

Objectives

  • See discussion items below:

Discussion items

ItemDescriptionOwnerNotesAction
1Welcome and role call

Bruce Goldberg


  •  
2New membership

Bruce Goldberg, ALL



3Allergy Content changes for January 2019 release

Bruce Goldberg

  1. Hypersensitivity/Allergy/Non-allergic hypersensitivity condition classes defined using GCIs
  2. Propensity to adverse reaction and Allergic disposition moved from disorders to findings
  3. New Allergic disorder (disorder) hierarchy representing abnormal structures (associated morphology inflammation + finding site X e.g. Allergic rhinitis)
  4. New Intolerance to substance (finding) hierarchy created under Propensity to adverse reaction (finding) as a sibling of Hypersensitivity disposition (finding)
  5. Allergic disorder and Allergic reaction now subsumed by Disorder of immune function (disorder)
4Project proposal for groupBruce Goldberg

Allergy to substance (finding) hierarchy has a large number of descendants many of which likely do not represent allergy at all. These need to be identified and eventually moved under another hierarchy such as propensity to adverse reactions, intolerance to substance or non-allergic hypersensitivity to substance

  • Volunteers needed



5WHO ICD-11 definitions of Allergy and hypersensitivityBruce Goldberg

Does the WHO ICD-11 definitions of Allergy and hypersensitivity make sense?

  • Jim Case to bring my concerns to Medical Scientific Advisory Committee (MSAC) (JTC Note: Submitted to the MSAC for consideration on the December conference call)
6Allergy dispositions

Bruce Goldberg

  • Requirements for adding new content
  • Potential add: allergy to alpha-gal (galactose-alpha-1,3-galactose) - red meat allergy

7Allergen refset

Bruce Goldberg

  • ETA for top 300 allergen list
  • Use cases
As of November 1, 2018 still not available on VSAC website
8Adjourn

Bruce Goldberg, All

  • Given time changes in UK and US need input as to whether current time is acceptable to everyone


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