I’ve received the following question via the SNOMED International Member Forum for our experts in medicines and adverse reactions
The modeling for conditions caused by substance or product has been discussed at the joint Modeling and Editorial AG meetings. Clinical conditions, e.g. allergy, adverse reaction, poisoning, contact dermatitis, have been modeled by substances in SNOMED CT. In practice, these conditions could be reported by medicinal products in clinical records.
A key question is whether a condition caused by a substance should have any hierarchical relationship to a condition caused by a product/physical object/organism that contains such a substance. A product can contain single or multiple active ingredients and excipients. It is important to clarify the intended meaning for ‘conditions caused by product’ to enable consistent modeling and reasoning.
In the consultation paper, five potential interpretations and their models are discussed with additional information on the complexity from product role groupers, types of representations, records in an information model, queries and decision support systems.
The purpose of this consultation is to gather input from the community to understand the expectation and potential impact on the current practice.
The link to the consultation paper:
https://docs.google.com/document/d/1qphuHLBcQxmB8FsysZA_-F91_-guJfT8LKimbYaFVuU/edit?usp=sharing (https://scanmail.trustwave.com/?c=15517&d=k-7c355aWxFwcWOq2V8Sc3t6qsA5lv_vLKIRJudiug&u=https%3A%2F%2Fdocs.google.com%2Fdocument%2Fd%2F1qphuHLBcQxmB8FsysZA_-F91_-guJfT8LKimbYaFVuU%2Fedit%3Fusp%3Dsharing)
The feedback form:
https://forms.gle/wmAuPYMvMV9Yd4qD8 (https://scanmail.trustwave.com/?c=15517&d=k-7c355aWxFwcWOq2V8Sc3t6qsA5lv_vLPQTcORltg&u=https%3A%2F%2Fforms.gle%2FwmAuPYMvMV9Yd4qD8)
The closing date for feedback is January 2021.
I’m happy to collate feedback posted here or emailed to me at alastair.kenworthy@health.govt.nz
https://www.yammer.com/healthinformationstandards/messages/1030797040599040