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OVERVIEW

This page is used to organize CRG work on clinical findings and observable entities related to perception and sensation.


MAJOR

FUNCTION

FUNCTIONS, PROCESSES,

PROCESS

STATES, QUALITIES AND

OTHER OBSERVABLE ENTITY CONCEPTS

DISPOSITIONS

Major ConceptsType of phenomenonCommonly Used TermsSNOMED CRG Working Definition (brainstorming definitions only, please provide input via comment)
Perception function

Function

perception, generation of a mental model or image

Perception is a function that endows a person with the capacity to mentally represent internal and external stimuli detected by sensory organs. The realization of this function is the mental representation of the detected stimulus, and the phenomenological experience that the stimulus is objectively present as perceived. The inputs to the perception function are typically the outputs of a sensory process. However, perception sometimes occurs in the absence of any sensory stimulus, for example, in hallucination.

Note: (see URU discussion)

Perceptual process

(question)  What is known about inputs to the perception function? Does the signal always originate somewhere in structures of the sensory function (whether or not the stimulus is present) OR can the perceptual function be instantiated by signals from other functions? 

The perception function endows a person with the capacity to create a mental representation of a stimulus (an object or energy) based on signals transmitted to the brain from the sensory system (i.e., the universe of  outputs/signals generated by the universe of processes made possible and instantiated by the sensory function).

Processes realized by the perception function include a) identifying specific stimulus properties, b) generating a gestalt mental model of the stimulus and/or about the environment from the stimulus, c) retrieving information from memory, d) generating a phenomenological experience, e) generating thoughts, beliefs, attitudes, emotional/motivational responses, etc.

Inputs to the perception function are (output) signals from the entire sensory function.

Outputs of the perception function are mental representations of the perceived object or environment and the phenomenological experience of the object or environment. 

Perceptual process

Process

perceiving
perception

The perception process is the process by which sensory outputs (signal generated by a real or imagined sensory stimulus) are transformed to produce both a mental representation and phenomenological experience of the stimulus.  At the physical level, the perception process is instantiated by the perception function - the set of anatomic structures, physiological processes, and rules governing physiological processes that initiate, perform, sustain, and terminate the conversion of sensory outputs to a perceptual experience (i.e., the perception function).  

(question) Does it make sense to distinguish between a perceptual function and a perceptual process?

Perceptual experience

State

a perception, a sensation, a sight, a sound, a smell, a taste, a touch (sensation)

A perceptual experience (or perceptionis a mental representation of some (real or imagined) internal or external stimulus and the associated phenomenological experience

is the 

that the stimulus is objectively present. The inputs to the perception function are typically signals generated as an output of the sensory function (i.e., signals transmitted to the brain following transduction of the stimulus into neural signal). In some cases, such as hallucination, perception occurs in the absence of a stimulus corresponding to the perception.

Sensory functionFunctionsensation, sensory transduction

The sensory function endows a person with the capacity to transmit specific types of information about specific classes of objects and energy to the brain. 

The realizations of the this function include a) the transduction of specific features of objects and energy in the environment into neural signals, b) the transmission of these signals to the brain, and c) processing of signals along the entire pathway from sensory receptor to brain. 

Inputs to the sensory function are specific classes of objects and energy capable of interacting with sensory organs and receptors.

This function inheres in physiological functions carried out in the entire sensory system.

The sensory function defines:

  • the entire set of entities (e.g., sensory stimuli, anatomic structures, physiologic entities) that may participate in sensory processes
  • the entire set of allowable interactions that may occur in sensory processes (e.g., rules governing interactions) 
Sensory process
Processsensory transduction processA sensory process is any process instantiated by the universe of entities ("continuants") and interactions between entities ("occurrences") that comprise the sensory function.  
Sensory experience = perceptual experienceStatea sensation, a sensory experience

brainstorm 1: (updated  ) In everyday usage, a sensation, or sensory experience, is used to describe phenomenological experience of the sensory stimulus. It may occur in the absence of any objectively identifiable stimulus. This term is a synonym for the concept 'perceptual experience' 

sensationSensory experiencea sensation

Sensory perception functionFunction
Sensory perception is a function that endows a person with the capacity to detect internal and external stimuli via sensory transducer structures in the body and transmit this information to the brain (sensory function), then cognitively represent, organize, and interpret this information (perception function). The realization of the sensory perception function is the acquisition of information from stimuli both within the body and the external environment.
Sensory perceptual processProcess

Sensory perceptual experience State


DEFINITIONS

TermSourceDefinition
Sensation

APA Dictionary of Psychology 

Accessed  

sensation

n.

1. the process or experience of perceiving through the senses. See sensory system.

2. an irreducible unit of experience produced by stimulation of a sensory receptor and the resultant activation of a specific brain center, producing basic awareness of a sound, odor, color, shape, or taste or of temperature, pressure, pain, muscular tension, position of the body, or change in the internal organs associated with such processes as hunger, thirst, nausea, and sexual excitement. Also called sense datum; sense impression; sensum.

Perception

APA Dictionary of Psychology 

Accessed  

perception

n. the process or result of becoming aware of objects, relationships, and events by means of the senses, which includes such activities as recognizing, observing, and discriminating. These activities enable organisms to organize and interpret the stimuli received into meaningful knowledge and to act in a coordinated manner.
Perception

UMLS Analysis

Insert link to document with UMLS source terminology definitions, analysis, and harmonized definitions

NIMH RDoC Classification

Accessed  

Perception refers to the process(es) that perform computations on sensory data to construct and transform representations of the external environment, acquire information from, and make predictions about, the external world, and guide action.


STAKEHOLDER GROUPS AND SUBJECT MATTER EXPERTS

Name

Type

Description

Contact Information

American Academy of Ophthalmology (AAO)Professional SocietyVision, EyesIdentify a contact, engage
European Federation of Audiology Societies (efas)Federation of Professional SocietiesAudition, EarsIdentify a contact, engage
American Academy of Otolaryngology (AAOA)Professional SocietyEar, Nose, Throat; Head & NeckIdentify a contact, engage
American Academy of NeurologyProfessional SocietyNeurology


RESOURCES

TERMINOLOGIES AND NOSOLOGIES

Name

Type

Description

Notes

DSM-I, DSM-II, DSM-III, DSM-III-R, DSM-IV, DSM-IV-RNosologyPrevious editions of the the Diagnostic and Statistical Manual of Mental Disorders (DSM)Useful for understanding the evolution concepts and specific terms used at different points in time
DSM-5, SCID-5NosologyCurrent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM)Useful for understanding terms and concepts as they are currently designed to be used by clinicians
ICD-10, ICD-10-CMNosologyPreview editions of the the International Classification of Disorders (ICD)Useful for understanding the evolution concepts and specific terms used at different points in time
ICD-11NosologyCurrent edition of the the International Classification of Disorders (ICD)Useful for understanding terms and concepts as they are currently designed to be used by clinicians
UMLSMeta-TerminologyUnified Medical Language System (UMLS)
NIMH Research Domain Criteria (RDoC) FrameworkA framework for defining and organizing mental and behavioral constructs and the levels of abstraction (i.e., molecular to cellular to physiological system to observable behavior) at which they can be known 

JOURNALS

NAMEDETAILSDESCRIPTION (VERBATIM FROM PUBLISHER)
Perception

Publisher: Sage Journals

5-Year Impact Factor: 1.303

"Perception is a traditional print journal covering all areas of the perceptual sciences, but with a strong historical emphasis on perceptual illusions. Perception is a subscription journal, free for authors to publish their research as a Standard Article, Short Report or Short & Sweet. The journal also publishes Editorials and Book Reviews". (Sage Journals, https://journals.sagepub.com/home/pec, accessed  )

Journal of Experimental Psychology: Human Perception and Performance®

Publisher: American Psychological Association

Editor: Isabel Gauthier
ISSN: 0096-1523
5-Year Impact Factor: 2.671

"The Journal of Experimental Psychology: Human Perception and Performance® publishes studies on perception, control of action, perceptual aspects of language processing, and related cognitive processes. All sensory modalities and motor systems are within its purview.

The journal also encourages studies with a neuroscientific perspective that contribute to the functional understanding of perception and performance. Authors are encouraged to consider and discuss the relevance and implications of their work for other areas of psychology, including those that are not typically featured in the journal." (APA, https://www.apa.org/pubs/journals/xhp, accessed  )

The journal Attention, Perception, & Psychophysics 

Publisher: Psychonomic Society

5-Year Impact Factor: 1.967

The journal Attention, Perception, & Psychophysics is an official journal of the Psychonomic Society. It spans all areas of research in sensory processes, perception, attention, and psychophysics. Most articles published are reports of experimental work; the journal also presents theoretical, integrative, and evaluative reviews. Founded in 1966 as Perception & Psychophysics, the journal assumed its present name in 2009.


PROJECT MILESTONES AND STATUS

PROCESS

Objective

Action Items

Assigned To

Start Date

IDObjectiveAction Item
1Define scope of work
  •  Identify the major concept(s) around which to organize a manageable project (scope of work) (artifact: mabh-crg concept plan)
  •  Complete the major concept table and
iterative
  • iteratively update as project progresses (CRG to finalize the definition for SNOMED once all research has been completed)
  •  
2Understand uses cases
  •  Identify any non-standard use cases or pain points in research domain  (artifact: mabh-crg use case document)
  •  Identify any non-standard use cases or pain points in clinical domain  (artifact: mabh-crg use case document)
3Understand major conceptualizations of the concept

Piper Allyn Ranallo

2Understand existing conceptualizations of major concepts in the domain
  •  Perform environmental scan to identify
key stakeholder groups (e.g., professional societies, research initiatives, patient advocacy groups) most involved in identifying and defining core constructs/concepts in this domain
  • major theoretical models of construct/concept domain (artifact: mabh-crg theoretical model document)
  •  Perform environmental scan to identify disorders and clinical variables relevant to the concept domain  (artifact: mabh-crg
stakeholder group matrix
  • clinical model document)
  •  
Add major groups to stakeholder table above 
  • Perform environmental scan to identify existing explicit representations of concepts in the domain in terminologies (nomenclatures, nosologies, classification systems
)
  • , controlled vocabularies, and ontologies
used by each stakeholder group (artifact: mabh-crg terminology matrix
  • ) 
Perform analysis of concepts in UMLS
  • (artifact: mabh-crg
UMLS concept analysis) Perform analysis of concepts in OBO Foundry (artifact:
  • umls analysis matrix, mabh-crg
x)
  • terminology matrix)
4Establish contact with key stakeholders and other potential project contributors
  •  Perform and environmental scan to
identify non-UMLS terminologies
  • Identify key stakeholders in the basic research, clinical research, clinical practice, and patient advocacy domain (artifact: mabh-crg
x
  • stakeholder document)
  •  
Perform environmental scan to identify major scientific models of construct/concept
  •  Document major theoretical models (limit scope to those supported by current scientific evidence) (artifact: theoretical model summary, nomological net graphic)
  •  Perform environment scan to identify relevant clinical variables captured during routine delivery of care
    •  Identify the core constructs (SNOMED observable entities) and defining features of the construct  (SNOMED observable entities, SNOMED body structures, SNOMED qualifier values)
    •  Identify major disorders, signs, and symptoms (SNOMED clinical findings) and associated features (SNOMED body structures, SNOMED qualifier values)

Note: potential sources of information include published clinical guidelines and quality measures

  •  Identify resources from whom documentation templates (notes, flowsheets) can be obtained
3Understand which concepts exist in SNOMED and how they are modeled
  •  Complete concept template spreadsheet (artifact: mabh-crg current state observable spreadsheet)
    •  Observable entities
    •  Clinical findings
    •  Body structures
    •  Qualifier values
  •  Create entity dot-diagrams (artifact: mabh-crg current state dot diagram)
    •  Observable entities
    •  Clinical findings
    •  Body structures
4Understand 
  •  Perform concept gap analysis
5Identify relevant terminologies and ontologies6Document key use cases
  •  Identify any special use cases not addressed in the generic master use case documents

External Resources

DSM-I, DSM-II, DSM-III, DSM-III-R, DSM-IV, DSM-IV-R

DSM-5, DSM-5 SCID, 

ICD-10, ICD-10-CMICD-11

  • Create and implement a plan for engaging stakeholders willing to participate in the CRG for the duration of the specific concept review, either on calls or via discussion forum, or to provide the following:
    •  Stakeholder experience related to specific pain points or use cases in the domain
    •  Copies or screenshots of note templates, clinical notes, flowsheets, order sets, research protocols, other (question)
5Understand how concepts in the domain are currently represented in SNOMED
  •  Review concepts in observable entity hierarchy
    •  Create dot diagram of current state
    •  Create observable entity spreadsheet
  •  Review concepts in clinical finding hierarchy
    •  Create dot diagram of current state
    •  Create observable entity spreadsheet
6Perform gap analysis 
  •  Analyze concepts in observable entity hierarchy
    •  Create observable entity spreadsheet
    •  Create dot diagram of current state
    •  Perform review of dot diagram to identify potential duplicate, outdated, missing or inaccurately modeled concepts
    •  Update spreadsheet with changes including all defining relationships
  •  Analyze concepts in clinical finding hierarchy
    •  Create observable entity spreadsheet
    •  Create dot diagram of current state
    •  Perform review of dot diagram to identify potential duplicate, outdated, missing or inaccurately modeled concepts
    •  Update spreadsheet with additions or changes to concepts, including all defining relationships
  •  Identify missing concepts in other hierarchies (e.g., qualifier value, body structure) required to completely and accurately model observable entity and clinical finding concepts
  •  Create explicit, narrative definitions for all concepts
7Create new and modify existing concepts in SNOMED
  •  Submit request for changes through CRS system or via template worksheet
8Disseminate information about changes to SNOMED for concepts in the domain
  •  (question)


LINKS TO SITE MATERIALS

DISCUSSION THREADS

Hallucinations

GRAPHICS AND GLOSSARIES

UMLS Analysis