Conflicts of interest and agenda review

Search of the literature yielded very few references with a consensus naming for this type of fracture.  Search terms included:

• "Neoplastic fracture"
• "Neoplastic pathologic fracture"
• "Metastatic fracture" 

As was agreed, these are not fractures DUE TO the neoplastic disease and have been modeled as co-occurrent. As there is no consensus naming for these, potential terming includes:

• "Fracture of X with neoplastic disease"
• "Fracture of X in neoplastic disease"
• "Fracture of X co-occurrent with neoplastic disease"
• "Neoplastic disease with pathologic fracture of X"
• "Neoplastic fracture of X"
• Other...

Based on a discussion at the Anesthesia CRG and Observables Project there is a requirement to add more content for Glasgow Coma Scale

Please see full discussion here: https://confluence.ihtsdotools.org/display/ACRGT/Glasgow+Coma+Score

Presentation included with this agenda item suggesting common observables definitions.

References to Standarization of the GCS:

https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020EN)

https://ckm.openehr.org/ckm/archetypes/1013.1.137/printable

https://www.glasgowcomascale.org/

Draft document from Anesthesia CRG: https://drive.google.com/file/d/1lZJlarREeIIRPk5E1zVtZUktLQlPH3G5/view?usp=sharing

Discussions within Observables Project Group and and review of assessment scores deployed at Nebraska have proceeded with extended proposal for inclusion of assessment scales in use in Sweden as well as US.   

Modelling proposal added to Attachment s summarizing Assessment Scale Score Observables development: Clinical Scale Scores_20210224.pptx.  Proposal promotes expanding content model for full definition of scales such as co-morbidity, Glasgow Coma Scale and SOFA scores.

Anesthesia CRG wishes to explore further the best model for including definitions/explanations of Ordinal Scale score Value sets used in calculated scores.

• Additional considerations for disorder association modeling
• Updated model for contact dermatitis

• Proposal for transfer of concepts from <<Evaluation Procedures to Observable entities under going model development in Protege for Phase 1 (Lab testing procedures) in order to test hierarchy build and revisions.

Issues observed with inferences based on the original proposal have arisen that require a revised modeling pattern.  Discussion located at: 

Re: Proposed remodeling of Congenital absence concepts - For discussion (revised)

March 24, 2021