December 12, 2019 Allergy CRG meeting minutes

Bruce Goldberg

Bruce Goldberg , all

1. Review legacy content for currency and accuracy
   1. Assist with Allergy to substance remediation project
   2. In addition to substances and allergy conditions, need review of other allergy content areas such as allergy tests, patch and other allergen extracts, desensitization procedures
2. Suggest new content in order to represent current knowledge in the field of allergy and adverse reactions and to be consistent with the new ICD-11 chapter on allergies and hypersensitivity
3. Provide input on development of subsets required for implementation of allergy-specific content in EHRs
4. Provide guidance for developers of decision support
5. Harmonize SNOMED content with HL-7/FHIR
   
   

Suggestion made to perhaps also add general physicians including pediatricians as well as dermatologists as well to group.

Bruce Goldberg will post discussion in order to obtain additional recommendations from members of group that were unable to make today's call.

Will send final purpose and goals to Jane Millar so she can reach out to international community in order to recruit more allergy specialists.

Recommended contacts:

WAO

EAAACI

AAAAI

Luciana Tano and Pascal Demoly (ICD-11)

• Request from Netherlands (Natasha Krul) to add severity scale for anaphylaxis

• Anaphylaxis Mueller grades.pptx

Is the above model correct?

• Replace 472964009 |Allergic process (qualifier value)| with 769260004 |Immunoglobulin E-mediated allergic process (qualifier value)|?
• Should these be created under 254291000 |Staging and scales (staging scale)| or 273249006 |Assessment scales (assessment scale)|
  • Above hierachy does not contain the individual grades
  • Needs more discussion

Bruce Goldberg

• Followup form September call
  • Bruce Goldberg to obtain a list of desired organisms from Natasha Krul and Marie-Alexandra Lambot

From Natasha Krul

List allergens Bruce.xlsx

Marie-Alexandra Lambot to translate above list into English. Will use list to determine scope of project to enable role chaining to link allergy to organism substance to allergy to oprganism

Bruce Goldberg, Marie-Alexandra Lambot

• Followup form September call
  
  • Marie-Alexandra Lambot will add the missing allergy to substance concepts to her local extension and evaluate usage for eventual inclusion into the SNOMED core
  • Bruce Goldberg to ask Cathy Richardson and Monica Harry about which countries may be using SNOMED allergy to substance concepts rather than just documenting allergies using substances and products
  • Marie-Alexandra Lambot mentioned that many descendants of 411123000 |Diagnostic allergen extract (product)| and 104381000 |Allergen specific immunoglobulin E antibody measurement (procedure)| are not represented in SNOMED CT as corresponding allergy to substance concepts

• https://confluence.ihtsdotools.org/display/cmag/2019/12/06/Concepts+used+to+document+allergies+-+input+sought - blog post
• Marie-Alexandra Lambot to post list of allergens in hor subset to see if any other countries are using

Bruce Goldberg, ALL

• Begin group review

• Task completed in SCA. Under review

• Tabled for a future meeting
  • https://authoring.ihtsdotools.org/#/tasks/task/INTQA/INTQA-2587/edit

Bruce Goldberg, All

• Next call Thursday January 9, 2020 20:00 UTC

• https://snomed.zoom.us/j/934143312

  Meeting ID: 934-143-312