Allergies/Hypersensitivity and Intolerance Clinical Reference Group

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2018-03-08

Schedule

1st Thursday of every month 

Time: 20:00 UTC 

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


Attendees


    • Apologies

      General Comments

      See agenda below

      Item

      Description

      Owner

      Item

      Discussion/Actions

      1

      Welcome and role call
      BGO, all

      2Allergy to combination drug products

      Bruce Goldberg

      		Using GCIs results in allergy to each component being subsumed by allergy to the combined drug which seems more beneficial than the current state where allergy to the combined drug is subsumed by allergy to both components. Further discussion needed to determine whether the former situation is correct.

      Concern voiced regarding allergy e.g. to amoxicillin would not flag a warning in some one allergic to amoxicillin. Further discussion suggested with diagrams of options.

      • Will bring forward to face to face meeting next Month in April
      3

      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


      Russell Leftwich will post file containing relevant concepts so that a gap analysis with existing SNOMED CT content and the NCPDP Interoperable Medication Allergy Class starter set can be made

      4

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

      Bruce Goldberg

      Continuing review of questionable allergy to substance groupers in SNOMED CT

      Toni Morrison will prepare release notes on what we are doing

      Tabled due to lack of time

      Spreadsheet to be distributed to group members for review

      • Will create Google sheet


      5Questions for group

      Bruce Goldberg

      1. Would the group be willing to support and maintain any subsets that we create?
      2. Do we want to harmonize with ICD-11?
      • Group is wiling to support refset development and maintenance
      • Suggestion to discuss with SNOMED International Mapping Service Team

      7

      Allergy CRG face to face, London 09:00-12:30

      BGO

      Potential topics

      • Allergy to combination drug products
      • SNOMED CT - ICD-11 MAPPING
      • HL-7/NCPDP/SNOMED CT GAP ANALYSIS



      8

      Adjourn
      		BGO
      • AOB


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