MedDRA Version 11.0 Specific Changes

 

 

Changes In a Nutshell

 

*         Complex Changes

There were no changes at the SOC level. There was a capitalization change in one HLGT term and several changes at the HLT level, presented below.

 

HLGT  level: Renamed – modified HLGT name

 

HLGT Name v 10.1

HLGT Name v 11.0

Movement disorders (incl Parkinsonism)

Movement disorders (incl parkinsonism)

 

 

             HLT level: There are 13 new HLTs added and 7 HLTs merged as a result of the

complex changes in Version 11.0. They are as follows:

 

New HLTs:

New HLT v 11.0

To HLGT

Bone marrow and immune tissue histopathology procedures

Haematology investigations (incl blood groups)

Bone marrow and immune tissue imaging procedures

Haematology investigations (incl blood groups)

Fear symptoms and phobic disorders (incl social phobia)

Anxiety disorders and symptoms

Haematological cysts and polyps

Haematopoietic neoplasms (excl leukaemias and lymphomas) (multi-axial HLGT)

Hepatobiliary cysts and polyps

Hepatic and biliary neoplasms benign

Leukodystrophies

Demyelinating disorders

Nervous system cysts and polyps

Nervous system neoplasms benign (multi-axial HLGT)

Ocular cysts and polyps

Ocular neoplasms (multi-axial HLGT)

Panic attacks and disorders

Anxiety disorders and symptoms

Parathyroid histopathology procedures

Endocrine investigations (incl sex hormones)

Renal neoplasms malignant

Renal and urinary tract neoplasms malignant and unspecified

Skin cysts and polyps

Cutaneous neoplasms benign (multi-axial HLGT)

Thyroid histopathology procedures

Endocrine investigations (incl sex hormones)

 

 

Merged HLTs:

Changed HLT

Merged under

Bone marrow and immune tissue analyses

Merged under HLT: Bone marrow and immune tissue histopathology procedures

Fear symptoms

Merged under HLT: Fear symptoms and phobic disorders (incl social phobia)

Non-renal cell kidney neoplasms malignant

Merged under HLT: Renal neoplasms malignant

Panic disorders

Merged under HLT: Panic attacks and disorders

Panic symptoms

Merged under HLT: Panic attacks and disorders

Renal cell carcinomas

Merged under HLT: Renal neoplasms malignant

Specific and social phobic disorders

Merged under HLT: Fear symptoms and phobic disorders (incl social phobia)

 

 

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*         ‘Injury and ‘Damage’ terms

Injury and damage concepts were discussed by a MedDRA Expert Panel. Based on this, injury and damage terms in MedDRA will now be considered generally as synonymous. Injury or damage to a major organ that is not of a traumatic causality will be placed primary to the location. If the causality is “due to accident”, the term will be linked primary to SOC Injury, poisoning and procedural complications.

 

Following this guidance some liver injury terms were realigned.

PT Cholestatic liver injury, PT Mixed liver injury, and PT Liver injury are

considered non-traumatic and are primarily linked to SOC Hepatobiliary disorders while

PT Traumatic liver injury is primarily linked to SOC Injury, poisoning and procedural

complications.

 

A review of pregnancy and injury terms in Version 11.0, based on Points to Consider

working group change requests, resulted in terms involving fetal exposure to drugs and

other substances (e.g., tobacco) in MedDRA to be linked primary to SOC Injury,

poisoning and procedural complications, with a secondary link to SOC Pregnancy,

puerperium and perinatal conditions. Terms directly attributable to birth trauma events

are primarily linked to SOC Pregnancy, puerperium and perinatal conditions.

 

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*      New SMQs

      MedDRA version 11.0 contains 58 SMQs. There are 3 which are new in this version:

 

1. Ischaemic colitis (SMQ)

2. Haemodynamic oedema, effusions and fluid overload (SMQ)

3. Glaucoma (SMQ)

 

 

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