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Difference between revisions of "2018-03-28PC DrugAllergySubstance Call Minutes"

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(Created page with " Back to Allergy_&_Intolerance_Drug_Sub-project ===Meeting Information=== {|border="1" cellpadding="2" cellspacing="0" <!---============================================...")
 
Line 105: Line 105:
 
### We can build (have built) an RxNorm-UNII map from NLM RxMix, but since G-SRS is using IDMP we don't know if vanilla UNII is correct.
 
### We can build (have built) an RxNorm-UNII map from NLM RxMix, but since G-SRS is using IDMP we don't know if vanilla UNII is correct.
 
## We'll need some explanatory text either way.
 
## We'll need some explanatory text either way.
#
+
# Comment 50 suggests adding a type field to the medication table, and it was voted persuasive. On further consideration, the participants agree this is more redundant information than is necessary.
 +
# Comment 52 suggests adjusting the percentages to represent the fraction of the total rather than of the mapped subset. I.e., the percentages should sum to the 97.7% of total instances, not 100% of instances mapped. On further consideration, participants agreed this would introduce methodological questions that would require a great deal of effort to resolve, with limited benefit. We have added a key to the document defining the data in the columns.
 +
# Review of vaccine/egg guidance
 +
## Two sources. Citation/link for first source not found. Open issue.
 +
# VSAC roles
 +
## Need an author credential and a steward credential in VSAC; whether to use existing (e.g., HL7 Terminology) or new (e.g., HL7 PC), or something else.
 +
## We presume steward will be PC; don't really care who author is as long as we have one.
 +
## HTA responds it's not them; talk to Vocabulary.
 +
## In process.
 +
# VSAC metadata
 +
## drafts complete; in current document
 +
 
  
  
Line 111: Line 122:
 
## CCDA: Emma, Lisa
 
## CCDA: Emma, Lisa
 
## FHIR: Michelle
 
## FHIR: Michelle
 
 
Proposed VSAC definitions
 
<table border="1" cellpadding="2" cellspacing="0" width="100%">
 
<tr bgcolor=#f0f0f0>
 
  <th>element</th>
 
  <th>text</th>
 
</tr>
 
<tr>
 
<td bgcolor=#eeeeee colspan = 2>Drug substances - reviewed 3/14</td>
 
</tr>
 
<tr>
 
<td>OID</td>
 
<td>NLM-assigned</td>
 
</tr>
 
<tr>
 
<td>Name</td>
 
<td>Common Drug Substances for Allergy and Intolerance Documentation</td>
 
</tr>
 
<tr>
 
<td>Author</td>
 
<td></td>
 
</tr>
 
<tr>
 
<td>Steward</td>
 
<td></td>
 
</tr>
 
<tr>
 
<td>Clinical focus</td>
 
<td>Documentation of a medication substance commonly suspected of causing an allergy or intolerance reaction in an individual</td>
 
</tr>
 
<tr>
 
<td>Date element Scope</td>
 
<td>Reactant element of allergy or intolerance record</td>
 
</tr>
 
<tr>
 
<td>Inclusion criteria</td>
 
<td>RxNorm substances of term type ingredient (IN) or multiple ingredient (MIN)</td>
 
</tr>
 
<tr>
 
<td>Exclusion criteria</td>
 
<td>Other RxNorm term types</td>
 
</tr>
 
<tr>
 
<td bgcolor=#eeeeee colspan = 2>Drug classes - reviewed 3/14</td>
 
</tr>
 
<tr>
 
<td>OID</td>
 
<td>NLM-assigned</td>
 
</tr>
 
<tr>
 
<td>Name</td>
 
<td>Common drug classes for allergy and intolerance documentation</td>
 
</tr>
 
<tr>
 
<td>Author</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Steward</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Clinical focus</td>
 
<td>Documentation of a class of medication substances suspected of causing an allergy or intolerance reaction in an individual</td>
 
</tr>
 
<tr>
 
<td>Date element Scope</td>
 
<td>Reactant element of allergy or intolerance record</td>
 
</tr>
 
<tr>
 
<td>Inclusion criteria</td>
 
<td>NDF-RT drug classes commonly relevant to allergy or intolerance cross-reactivity</td>
 
</tr>
 
<tr>
 
<td>Exclusion criteria</td>
 
<td>NDF-RT drug classes not commonly relevant to allergy or intolerance cross-reactivity</td>
 
</tr>
 
<tr>
 
<td bgcolor=#eeeeee colspan = 2>Foods</td>
 
</tr>
 
<tr>
 
<td>OID</td>
 
<td>NLM-assigned</td>
 
</tr>
 
<tr>
 
<td>Name</td>
 
<td>Common dietary substances for allergy and intolerance documentation</td>
 
</tr>
 
<tr>
 
<td>Author</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Steward</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Clinical focus</td>
 
<td>Documentation of a class of foods and dietary substances suspected of causing an allergy or intolerance reaction in an individual</td>
 
</tr>
 
<tr>
 
<td>Date element Scope</td>
 
<td>Reactant element of allergy or intolerance record</td>
 
</tr>
 
<tr>
 
<td>Inclusion criteria</td>
 
<td>SNOMED-CT dietary substances ingested by patients, both specific (e.g., strawberry) and general (e.g., crustaceans); Substances that may be either foods or drugs (e.g., ethanol)</td>
 
</tr>
 
<tr>
 
<td>Exclusion criteria</td>
 
<td>SNOMED-CT prodcuts; environmental substances; expressions asserting absence of conditions; Actual conditions caused by exposure (reactions, allergies)</td>
 
</tr>
 
<tr>
 
<td bgcolor=#eeeeee colspan = 2>Environmental substances</td>
 
</tr>
 
<tr>
 
<td>OID</td>
 
<td>NLM-assigned</td>
 
</tr>
 
<tr>
 
<td>Name</td>
 
<td>Common environmental substances  for allergy and intolerance documentation</td>
 
</tr>
 
<tr>
 
<td>Author</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Steward</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Clinical focus</td>
 
<td>Documentation of environmental substances to which patients may be exposed suspected of causing an allergy or intolerance reaction in an individual</td>
 
</tr>
 
<tr>
 
<td>Date element Scope</td>
 
<td>Reactant element of allergy or intolerance record</td>
 
</tr>
 
<tr>
 
<td>Inclusion criteria</td>
 
<td>SNOMED-CT environmental substances suspected of causing reactions</td>
 
</tr>
 
<tr>
 
<td>Exclusion criteria</td>
 
<td>Drugs and foods; expressions asserting absence of conditions; Actual conditions caused by exposure (reactions, allergies)</td>
 
</tr>
 
<tr>
 
<td bgcolor=#eeeeee colspan = 2>Negations</td>
 
</tr>
 
<tr>
 
<td>OID</td>
 
<td>NLM-assigned</td>
 
</tr>
 
<tr>
 
<td>Name</td>
 
<td>Common negations of substance causes for allergy for allergy and intolerance documentation</td>
 
</tr>
 
<tr>
 
<td>Author</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Steward</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Clinical focus</td>
 
<td>Refutation of associations between substances and reactions </td>
 
</tr>
 
<tr>
 
<td>Date element Scope</td>
 
<td>Reactant element of allergy or intolerance record</td>
 
</tr>
 
<tr>
 
<td>Inclusion criteria</td>
 
<td>Assertions that a substance or class of substance does not cause adverse reactions in the patient</td>
 
</tr>
 
<tr>
 
<td>Exclusion criteria</td>
 
<td>Substances; Actual conditions caused by exposure (reactions, allergies)</td>
 
</tr>
 
<tr>
 
<td bgcolor=#eeeeee colspan = 2>Negations</td>
 
</tr>
 
<tr>
 
<td>OID</td>
 
<td>NLM-assigned</td>
 
</tr>
 
<tr>
 
<td>Name</td>
 
<td>Common substances for allergy and intolerance documentation</td>
 
</tr>
 
<tr>
 
<td>Author</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Steward</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Clinical focus</td>
 
<td>Documentation of substances suspected of causing an allergy or intolerance reaction in an individual</td>
 
</tr>
 
<tr>
 
<td>Date element Scope</td>
 
<td>Reactant element of allergy or intolerance record</td>
 
</tr>
 
<tr>
 
<td>Inclusion criteria</td>
 
<td>Specific or general substances to which a patient may be exposed and which may be suspected of causing an adverse reaction</td>
 
</tr>
 
<tr>
 
<td>Exclusion criteria</td>
 
<td>Actual conditions caused by exposure (reactions, allergies); negations of these conditions</td>
 
</tr>
 
<tr>
 
<td bgcolor=#eeeeee colspan = 2>Negations</td>
 
</tr>
 
<tr>
 
<td>OID</td>
 
<td>NLM-assigned</td>
 
</tr>
 
<tr>
 
<td>Name</td>
 
<td>Common values for allergy and intolerance documentation</td>
 
</tr>
 
<tr>
 
<td>Author</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Steward</td>
 
<td>TBD</td>
 
</tr>
 
<tr>
 
<td>Clinical focus</td>
 
<td>Documentation of substances suspected of (or not suspected of) causing an allergy or intolerance reaction in an individual</td>
 
</tr>
 
<tr>
 
<td>Date element Scope</td>
 
<td>Reactant element of allergy or intolerance record</td>
 
</tr>
 
<tr>
 
<td>Inclusion criteria</td>
 
<td>Specific or general substances to which a patient may be exposed and which may be suspected of causing an adverse reaction; assertions negating these suspicions</td>
 
</tr>
 
<tr>
 
<td>Exclusion criteria</td>
 
<td>Actual conditions caused by exposure (reactions, allergies)</td>
 
</tr>
 
 
</table>
 
  
 
===Meeting Outcomes===
 
===Meeting Outcomes===

Revision as of 12:21, 29 March 2018

Back to Allergy_&_Intolerance_Drug_Sub-project

Meeting Information

HL7 Negation Requirements Meeting Minutes

Location: Phone

Date: 2018-03-28
Time: 5:00-6:00 ET
Facilitator Jay Lyle Note taker(s) Jay Lyle
Attendee Name Affiliation


y Jay Lyle JP Systems / VA
y Russ Leftwich
y Elaine Ayres
y Stephen Chu
y George Dixon
y Sue Kent
y Nancy Orvis
y Yanyan Hu

Agenda

Agenda Topics

  1. Review changes applied to document

Minutes

Minutes/Conclusions Reached:

  1. Shellfish
    1. Added 'shellfish-mollusk' to support guidance.
    2. Corrected 'shellfish' count, 'shellfish - crustacean' count
    3. Note: SCT concepts are for terrestrial mollusks; request parent concept for terrestrial and marine mollusks.
    4. Question: do we need a similar approach for marine crustaceans? No identified consumption of terrestrial crustaceans.
  2. G-SRS
    1. No response from FDA. We will adopt G-SRS values if and when guidance if provided; if it's not available before we are ready to publish, we will publish without it.
      1. The only identified source for G-SRS data is clearly labeled 'demo,' and the first sample we tried identified an issue.
      2. We can build (have built) an RxNorm-UNII map from NLM RxMix, but since G-SRS is using IDMP we don't know if vanilla UNII is correct.
    2. We'll need some explanatory text either way.
  3. Comment 50 suggests adding a type field to the medication table, and it was voted persuasive. On further consideration, the participants agree this is more redundant information than is necessary.
  4. Comment 52 suggests adjusting the percentages to represent the fraction of the total rather than of the mapped subset. I.e., the percentages should sum to the 97.7% of total instances, not 100% of instances mapped. On further consideration, participants agreed this would introduce methodological questions that would require a great deal of effort to resolve, with limited benefit. We have added a key to the document defining the data in the columns.
  5. Review of vaccine/egg guidance
    1. Two sources. Citation/link for first source not found. Open issue.
  6. VSAC roles
    1. Need an author credential and a steward credential in VSAC; whether to use existing (e.g., HL7 Terminology) or new (e.g., HL7 PC), or something else.
    2. We presume steward will be PC; don't really care who author is as long as we have one.
    3. HTA responds it's not them; talk to Vocabulary.
    4. In process.
  7. VSAC metadata
    1. drafts complete; in current document


  1. FHIR & CCDA adoption
    1. CCDA: Emma, Lisa
    2. FHIR: Michelle

Meeting Outcomes

Actions
  • Please review proposed text


Next Meeting/Preliminary Agenda Items
  • Review text
  • Review HTA feedback
  • Review overlap findings

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