Allergies/Hypersensitivity and Intolerance Clinical Reference Group

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Date

Thursday, February 14, 2019

Schedule
2nd Thursday of every month
Time: 20:00 UTC


GoToMeeting Details

https://snomed.zoom.us/j/934143312

Meeting ID: 934-143-312

International numbers available: https://snomed.zoom.us/zoomconference?m=EochJjO8ozm1ZiDr_x9p-bFJCbIBwgqV


Recording of meeting

https://snomed.zoom.us/recording/share/-Hm_TdmBfelBVeepdP9hXR05m1JqcYie90F6B9GeqnawIumekTziMw 

Invitees

Apologies

Objectives

  • See discussion items below:

Discussion items

ItemDescriptionOwnerNotesAction
1Welcome and role call

Bruce Goldberg


  •  
2Free SNOMED CT set for FHIRBruce GoldbergThe SNOMED on FHIR group are currently working on a mapping for a proposed "free set" for allergy/intolerance that is being discussed between SNOMED International and HL7.

SNOMED on FHIR.docx

https://urldefense.proofpoint.com/v2/url?u=https-3A__confluence.ihtsdotools.org_display_FHIR_Free-2BSNOMED-2BCT-2Bset-2Bfor-2BFHIR&d=DwMFaQ&c=ZMR5nv7DeMA_5yIzV7zEdkSfOjTGya0xwGqp1JcaTq0&r=AT6pbftlFXFyGuS7neB8LF_AZA6SfAzY3T8fXzdhoyc&m=HoEiwsITwIdFiI_NVYDEz9BmCEd_4ux2PYtXzenIdZo&s=xJp_-WQ-gv9lnxxJcWexrpGRf9wXJHBzshxGOmmHqHk&e=

Discussions centered around proposed use of AllergyIntolerance.Category.

There was some disagreement among the group of the value of these broad groupers

Difficulty in defining what is a "food". Should perghpas be food product?

Rob Hausam was able to add some clarity regarding the controversy surrounding this valueset

Advised members of this group to try to attend the SNOMED on FHIR meeting in London in person or remotely

Working Group 
Open to all
SNOMED on FHIR Working Session 
Chairs: Peter G. Williams & Robert Hausam
Room: Adelphi 3

3Comparison of HL-7 common drug and food allergens and allergen/allergy value set compiled for Belgium

Marie-Alexandra Lambot

Marie-Alexandra Lambot to present her work on reconciling allergy value set developed for Belgium and HL-7 common drug and food allergens

care set_hypersensitivity_201902011.pptx

Marie-Alexandra Lambot to reach out to SNOMED on FHIR group for additional documentation

2Allergy/hypersensitivity/intolerance reaction refsetJames R. CampbellSuggestion made to create two refsets - one with allergy reaction codes from SNOMED CT clinical findings frequency of occurrence in EHRs and the second a list of SNOMED CT substances and Medicinal Products with flags to identify those of use in a) the user interface for reaction coding and b) the research data set with mapping to the member drug terminologies - RxNorm for the US etc

James R. Campbell not on call. There seems to be some interest in creating at least an allergy/intolerance clinical findings refset.

Will discuss an "allergen" + linked clinical findings subset at face to face meeting in London

2Allergy to substance remediation project

Bruce Goldberg, ALL

  • Time permitting, we can work through some of these

https://docs.google.com/spreadsheets/d/1cT2eLlIJJxoEkGw5bCsQkEQBi6BfwBZFnQWPibbw7CQ/edit?usp=sharing

  1. If substance represents a grouper with doubtful clinical significance in terms of allergy that may have been missed during initial review, it will be marked in comments section for additional review
  2. If no information can be found by a particular reviewer for a substance in terms of mechanism it will also be marked in comments section for additional review by group
4Allergy to alpha galBruce Goldberg
  • Background and proposed modeling
5Topics for face to face meeting, London 2019All
  • Need agenda items
  • Please send in potential items for discussion in London
6Adjourn

Bruce Goldberg, All

  • AOB
  • No meeting in March
  • Next meeting will take place in London during the spring SNOMED business meeting

Meeting Files

  File Modified
Microsoft Word Document SNOMED on FHIR.docx 2019-Feb-15 by Bruce Goldberg
Microsoft Powerpoint Presentation Alpha-gal allergy.pptx 2019-Feb-15 by Bruce Goldberg
PDF File HL7_XPARADIGM_ALLERGY_VS_R1_INFORM_2018AUG.pdf 2019-Feb-15 by Bruce Goldberg
Microsoft Excel Spreadsheet HL7_XPARADIGM_ALLERGY_VS_R1_I2_2018 May ALLERGY SUBSTANCES.xlsx 2019-Feb-15 by Bruce Goldberg
ZIP Archive HL7_XPARADIGM_ALLERGY_VS_R1_INFORM_2018AUG.zip 2019-Feb-15 by Bruce Goldberg
PDF File Drug+Allergy.pdf 2019-Feb-15 by Bruce Goldberg
Microsoft Word Document Allergy project plan for 2019.docx 2019-Feb-15 by Bruce Goldberg
Microsoft Word Document Allergy definition query for MSAC.docx 2019-Feb-15 by Bruce Goldberg
PDF File Drug-Book-web.pdf 2019-Feb-15 by Bruce Goldberg
PDF File nihms371252.pdf 2019-Feb-15 by Bruce Goldberg
Microsoft Excel Spreadsheet Allergy to substance verification.xlsx 2019-Feb-15 by Bruce Goldberg
Microsoft Word Document Briefing note - Changes to the modeling of hypersensitivity_allergy and pseudoallergy content_final.docx 2019-Feb-15 by Bruce Goldberg
Microsoft Powerpoint Presentation Redesigning the allergy module of the electronic health 8-9-2018.pptx 2019-Feb-15 by Bruce Goldberg
Microsoft Powerpoint Presentation Allergy update.pptx 2019-Feb-15 by Bruce Goldberg
Microsoft Word Document Feedback from FDB re retiring of substance groupers.docx 2019-Feb-15 by Bruce Goldberg
PDF File EHR_Editorial Annals of Allergy 6-2016.pdf 2019-Feb-15 by Bruce Goldberg
Microsoft Powerpoint Presentation care set_hypersensitivity_201902011.pptx 2019-Feb-15 by Bruce Goldberg


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