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Assessment scales and scores: project proposal

Added by Piper Allyn Ranallo on Nov 28, 2023

This discussion thread was created to share some initial findings and start a discussion about how we might make concepts related to assessment scales and score more fit-for-use in clinical care (and research to accelerate knowledge discovery to improve clinical care). Assessment Scores There are currently many, many concepts in the observable entity (OE) hierarchy for assessment scores. Some concepts are child concepts of | Assessment score (observable entity) | Other concepts are chil

Status: In discussion 3409 View 31 Comment Comments enabled In the category: Undefined

Comment Last contribution, May 16, 2024. All contributions

Jim Case

pranallo The representation on survey instruments in the LOINC extension was discussed at our last face to face meeting in March. The consensus was that the LOINC extension will subscribe to the proposed policy for assessments for the International release, for which the LOINC extension itself would only represent the name of the assessment and the score. If LOINC has obtained permission for the individual questions from an instrument to be added, then those would also be added to the extension as would the value sets associated with each question. However, what would not be added to the extension would be anything related to the structure of the instrument (i.e. order of questions) or any related logical structure (e.g. skip logic). Thus it would not be possible, using the extension alone, to recreate the native instrument. This was determined to be an implementation issue outside of the purview of a terminology. Aside from what already exists in the International release of SNOMED CT, all additional survey content will reside in the LOINC extension. It has been recognized that we may need a "new" concept model to represent assessments and surveys and that is a future effort in the LOINC extension project as we are currently working on getting a more comprehensive transform of laboratory LOINC terms for the first release. So, both "how" and "when" are not yet determined.

General Mental State

Added by Piper Allyn Ranallo on Apr 21, 2023

How is concept | General mental state (finding) | different from | Mental state (finding)| ?

Status: In discussion 626 View 3 Comment Comments enabled In the category: Undefined

Comment Last contribution, Apr 24, 2023. All contributions

Piper Allyn Ranallo

Thanks jcase. We will discuss this on our next call to get consensus from SMEs that its okay to inactivate.

Secondary Mental Disorder (ICD11)

Added by Piper Allyn Ranallo on Apr 13, 2023

Input requested on cleanup of the following terms and related concepts: Secondary mental disorder (ICD11), Mental disorder due to another medical condition (DSM5), Organic mental disorder (ICD10, DSM-III)

Status: In discussion 842 View 6 Comment Comments enabled In the category: Undefined

Comment Last contribution, Apr 19, 2023. All contributions

Piper Allyn Ranallo

There are 37 concepts in the clinical finding hierarchy with 'Organic' in the FSN. All but 4 of these concepts appear to refer to mental disorders. Excel spreadsheet with conceptId and FSN attached.

Health related behavior (observable entity)

Added by Piper Allyn Ranallo on Apr 11, 2022

Health related behavior

behavior

Status: In discussion 549 View 2 Comment Comments enabled In the category: Undefined

Comment Last contribution, Apr 11, 2022. All contributions

Piper Allyn Ranallo

Some additional notes: image2022-4-11_5-56-8.png

Appropriate replacement of "Counseling for homosexuality" (SCTID: 313079007)

Added by Clair Kronk on Mar 10, 2022

Discussion within Canada Health Infoway (CHI) has focused on removing terms that may be related to conversion therapy. "Counseling for homosexuality" was flagged, but we were having difficulties regarding what an appropriate replacement would be that could not also be misused, but would allow for practicing affirmative psychotherapy. We had thought that adding "Sexual identity-related affirmative psychotherapy" would work, and then deleting "Counseling for homosexuality". However, we th

uncategorized-discussion

Status: In discussion 592 View 4 Comment Comments enabled In the category: Undefined

Comment Last contribution, Jun 21, 2023. All contributions

Piper Allyn Ranallo

Hi mcordell, Yes ewooler and I discussed this request and she made the change. Thanks for bringing this to our attention ckronk. Piper

Concept: | Worried (finding) |

Added by Piper Allyn Ranallo on Nov 21, 2021

What are we making a statement about when we say someone is "worried" ?

Status: In discussion 773 View 3 Comment Comments enabled In the category: Undefined

Comment Last contribution, Nov 22, 2021. All contributions

Stephen Beller

Do thoughts have "content?" Well, thoughts (all forms of cognition) emerge from brain activity. However: What about when people are consciously unaware of the content of thoughts that are sub/unconscious? How can they become aware? What about when they are only aware of the emotional sensations they feel that are associated with a thought, and what if those feelings are suppressed out of awareness (e.g., as a defense mechanism)? What if the only things observable are bodily expressions of such emotion thoughts (e.g., tension, agitation, tears), other behaviors such as avoidant eye-contact and changing the subject, and/or a history of maladaptive coping mechanisms? Can the observer then infer the existence of thoughts and feelings? How can a thought that is associated with an emotion can be measured in terms of emotional valance, activation level, intensity, frequency, and duration? I pose these questions because they have been studying them the past 35 years through my involvement in developing a therapeutic tool that helps answers.

Self Injurious Behavior

Added by Piper Allyn Ranallo on Nov 17, 2021

Self injurious behavior

Status: In discussion 2691 View 6 Comment Comments enabled In the category: Undefined

Comment Last contribution, Nov 19, 2021. All contributions

Piper Allyn Ranallo

Thanks for posting this sprior. I'm curious about your thoughts on how to approach descriptions (synonyms) for the concepts. Defining the concept and coming up with a clear FSN seems much more straightforward than making decisions about which terms are appropriate SYN for which concepts. Do you assign a the term as a synonym if there is evidence that any group of clinicians use the term when expressing the idea, or does it need to be some sufficiently large number of groups? It starts to feel like an overwhelming task with the mental health concepts. There are so many different training programs and types of degrees in this field. Each "camp" develops its own term for the same idea, and uses the same term to express multiple ideas (per our discussion about mood, emotion and affect). Piper

Social Norms

Added by Piper Allyn Ranallo on Sep 8, 2021

Definition of social norms

Status: In discussion 794 View 1 Comment Comments enabled In the category: Undefined

Comment Last contribution, Sep 8, 2021. All contributions

Piper Allyn Ranallo

Adding document with proposed definition of social norms. Includes verbatim definition of 'social norms' from UMLS source terminologies and other sources. Social Norms - Definitions.docx

Self Destructive Behavior v Self Harm

Added by Piper Allyn Ranallo on Sep 8, 2021

Question from terminologists: We have received an inquiry from one of our members regarding the semantic difference between 248062006 | Self-injurious behavior (finding) | and 1157096002 |Self destructive behavior (finding)| (which was just added in 2021). Going through the literature, these are sometimes conflated and sometimes treated as separate. Can the MBH group give some insight? It appears that ICD and DSM do not use the notion of 1157096002 |Self destructive behavior (finding)| S

Status: In discussion 2747 View 11 Comment Comments enabled In the category: Undefined

Comment Last contribution, Feb 3, 2022. All contributions

Matt Cordell

Agree with the above, that it looks like "deliberate self harm" is primarily about physical harm, whereas "self destructive behavior" can also include behaviours with social consequences. Also, some behaviours may not be necessarily deliberate.. So the current arrangement of these concepts in SNOMED is consistent with this.

Concept: |Ability to perform cognitive function (observable entity)|

Added by Piper Allyn Ranallo on May 15, 2021

The following graphic is based on contnt in the Jan 2021 release of International Edition. Seeking input on what is right and wrong with this picture. Any important concepts missing? image2021-5-15_10-3-53.png ability to preform cognitive activity.pdf

uncategorized-discussion

Status: In discussion 805 View 1 Comment Comments enabled In the category: Undefined

Comment Last contribution, May 15, 2021. All contributions

Piper Allyn Ranallo

Visio version of file here. ability to preform cognitive function.vsdx

	Topic	Status	Author	Like	View	Replies	Creation date	Last Reply	Contributors	Category
Discussion	Assessment scales and scores: project proposal	In discussion	Piper Allyn Ranallo	2	View 3409	Comment 31	$discPage.getCreationDate().getTime() Nov 28, 2023 16:44	May 16, 2024 17:28	31	Undefined
Question	General Mental State	In discussion	Piper Allyn Ranallo	0	View 626	Comment 3	$discPage.getCreationDate().getTime() Apr 21, 2023 15:48	Apr 24, 2023 16:57	3	Undefined
Question	Secondary Mental Disorder (ICD11)	In discussion	Piper Allyn Ranallo	0	View 842	Comment 6	$discPage.getCreationDate().getTime() Apr 13, 2023 14:32	Apr 19, 2023 13:59	6	Undefined
Question	Health related behavior (observable entity)	In discussion	Piper Allyn Ranallo	0	View 549	Comment 2	$discPage.getCreationDate().getTime() Apr 11, 2022 09:56	Apr 11, 2022 10:57	2	Undefined
Discussion	Appropriate replacement of "Counseling for homosexuality" (SCTID: 313079007)	In discussion	Clair Kronk	2	View 592	Comment 4	$discPage.getCreationDate().getTime() Mar 10, 2022 18:04	Jun 21, 2023 22:21	4	Undefined
Discussion	Concept: \| Worried (finding) \|	In discussion	Piper Allyn Ranallo	0	View 773	Comment 3	$discPage.getCreationDate().getTime() Nov 21, 2021 13:19	Nov 22, 2021 13:43	3	Undefined
Question	Self Injurious Behavior	In discussion	Piper Allyn Ranallo	0	View 2691	Comment 6	$discPage.getCreationDate().getTime() Nov 17, 2021 19:33	Nov 19, 2021 13:00	6	Undefined
Discussion	Social Norms	In discussion	Piper Allyn Ranallo	0	View 794	Comment 1	$discPage.getCreationDate().getTime() Sep 8, 2021 14:09	Sep 8, 2021 14:11	1	Undefined
Question	Self Destructive Behavior v Self Harm	In discussion	Piper Allyn Ranallo	1	View 2747	Comment 11	$discPage.getCreationDate().getTime() Sep 8, 2021 13:46	Feb 3, 2022 23:00	11	Undefined
Discussion	Concept: \|Ability to perform cognitive function (observable entity)\|	In discussion	Piper Allyn Ranallo	0	View 805	Comment 1	$discPage.getCreationDate().getTime() May 15, 2021 15:00	May 15, 2021 15:06	1	Undefined

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