Allergies/Hypersensitivity and Intolerance Clinical Reference Group

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DATE

Thursday, June 14, 2018

Schedule
2nd Thursday of every month
Time: 19:00 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

Attendees



Apologies


Objectives

  • See discussion items below:

Discussion items

ItemDescriptionOwnerNotesAction
1Welcome and role call

Bruce Goldberg



2Recap of face to face meeting in London

Bruce Goldberg

 See https://confluence.ihtsdotools.org/x/oAKlAw

 

3Allergy content changes for July 2018 release

Bruce Goldberg, Toni Morrison, Yongsheng Gao

See

https://docs.google.com/spreadsheets/d/137AGyhdvOSdTCSdfhpLcUWqEkfcfr0uT5f9WWrbCA2k/edit#gid=1704651182

  • Reviewed retired allergy to X concepts for Jul 2018 rlease
4Use of SNOMED for allergy documentation and decision support in an EHR

Bruce Goldberg

Demonstration of allergy content in an EPIC EHR
  • Demonstration of use of allergy to x and allergy module using substances and products in EPIC EHR
  • Allergy module is based on FDB and their SNOMED and internal ontology mappings
  • Bruce Goldberg and Yongsheng Gao to meet with a representative from FDB at end of month to discuss how changes to substance, product and allerrgy content in SNOMED could affect decision support algorithms
5Pending tasks for Jan. 2019 release

Bruce Goldberg, Toni Morrison, Yongsheng Gao

See

/projects/ALLERGIES/summary

  • Model for allergy to x+y
  • Scope of "allergy to X" for individual substance with modification
  • Proposed concept model change to align content with ICD-11 - 2017
    • Bruce Goldberg to redefine 414029004 |Disorder of immune function (disorder)| using new pathological process of abnormal immune response (qualifier value) which will subsume allergic process (qualifier value) and autoimmune (qualifier value) so that allergic disease and autoimmune disease will classify under Disorder of immune function - in line with ICD-11
    • Modeling of concepts that refer to a product without a specific active ingredient
    • Modeling for concepts representing medical solutions
6Allergy dispositions

Bruce Goldberg

  • Requirements for adding new content
  • Potential add: allergy to alpha-gal (galactose-alpha-1,3-galactose) - red meat allergy
  • Belgium would like to use "allergy to x" for decision support regarding cross reactivity/contraindication rather than substances
  • May test alternate models for allergy to x and y with decision support algorithms developed by Belgium
7Allergen refset

Bruce Goldberg, Toni Morrison

  • ETA for top 300 allergen list
  • Use cases

This is in ballot in HL7 now.  When the ballot is reconciled, probably about 6 weeks, the list should be available. 

  • Checked today on https://vsac.nlm.nih.gov/. List still not published
  • Did review Food AllergenSNOMEDCTExtensionalPartners Healthcare2.16.840.1.113762.1.4.1156.1522

2.16.840.1.113762.1.4.1156.1.xlsx

8Adjourn

Bruce Goldberg

No meeting in July. Next call August 9, 2018, 19:00 UTC https://snomed.zoom.us/my/allergycrg






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