Mental and Behavioural Health Clinical Reference Group

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OVERVIEW

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



MAJOR FUNCTION, PROCESS, AND OTHER OBSERVABLE ENTITY CONCEPTS

Major Concepts

Commonly Used TermsWorking Definition
Phobic response

Phobic disorder

Phobic stimulus

Fear

Avoidance

Specific phobia

Social phobia

STAKEHOLDER GROUPS AND SUBJECT MATTER EXPERTS

NameTypeDescriptionNotes
American Psychiatric Association (APA)Professional Society, Guideline Developer

American Psychological Association (APA)Professional Society, Guideline Developer

Identify 1-3 clinical organizations willing to share clinical artifacts


RESOURCES

NameTypeDescriptionNotes
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, DSM-5 SCIDNosologyCurrent 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)

PROJECT MILESTONES AND STATUS

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 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
  • Perform environmental scan to identify 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 clinical model document)
  • Perform environmental scan to identify existing explicit representations of concepts in the domain in terminologies (nomenclatures, nosologies, classification systems, controlled vocabularies, and ontologies) (artifact: mabh-crg umls analysis matrix, mabh-crg terminology matrix)
4Establish contact with key stakeholders and other potential project contributors
  • Perform and environmental scan to Identify key stakeholders in the basic research, clinical research, clinical practice, and patient advocacy domain (artifact: mabh-crg stakeholder document)
  • 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

WORK PAGES

DISCUSSION THREADS

GRAPHICS AND GLOSSARIES

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