MedDRA Series

🛕 SOC within MedDRA: Key Insights

Basics of pharmacovigilance
December 13, 2024 Bala 4 min read 4 Comments
Table of Contents

    This blog covers the following topics:

    1. Understanding SOC (System Organ Class)
    2. Key Components of SOC
    3. The Importance of SOC in MedDRA Coding

    Introduction

    As healthcare professionals, you’re likely familiar with MedDRA, or at least have heard of it. For pharmacovigilance professionals, We’ve covered MedDRA detailing in with a dedicated MedDRA series.

    In this post, we’re going to explore one of the key hierarchies within MedDRA: SOC (System Organ Class). Let’s dive in and understand its significance.

    SOC: A Comprehensive Overview

    SOC is a single-axis classification, meaning the terms within each SOC are exclusive to that category and are not linked to any other SOCs in MedDRA. The next level in the MedDRA hierarchy is HLGT (High-Level Group Term).

    SOC represents a higher level in the MedDRA hierarchy, organized based on systems and organs in the human body.

    Each SOC classified carefully based anatomical, pathological, or etiological factors.

    “System Organ Classes (SOC) in MedDRA serve as the foundation for organizing adverse events, categorizing them by body systems and organs to bring clarity and precision to clinical data.”

    📢 Recommendation: Curious to learn more about what are the other structural hierarchy of MedDRA.

    SOC: Its Core Components Explained

    Below are the list of SOC that are divided in to 27 components. Each of the divisions below is further classified into its own HLGT levels.

    1. Blood and lymphatic system disorders
    2. Cardiac disorders
    3. Congenital, familial and genetic disorders
    4. Ear and labyrinth disorders
    5. Endocrine disorders
    6. Eye disorders
    7. Gastrointestinal disorders
    8. General disorders and administration site condition
    9. Hepatobiliary disorders
    10. Immune system disorders
    11. Infections and infestations
    12. Injury, poisoning and procedural complications
    13. Investigations
    14. Metabolism and nutrition disorders
    15. Musculoskeletal and connective tissue disorders
    16. Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    17. Nervous system disorders
    18. Pregnancy, puerperium and perinatal conditions
    19. Product issues
    20. Psychiatric disorders
    21. Renal and urinary disorders
    22. Reproductive system and breast disorders
    23. Respiratory, thoracic and mediastinal disorders
    24. Skin and subcutaneous tissue disorders
    25. Social circumstances
    26. Surgical and medical procedures
    27. Vascular disorders

    Search Strategies

    Search strategies often rely on SOC, especially when you know the specific system involved in the reported adverse event.

    For example, if the goal is to conduct a search that covers various types of blood disorders, such as anemias or “bleeding diatheses,”. Here multiple HLGTs need to be considered, as the relevant terms are grouped under different categories. So here SOC plays a role as primary selection.

    SOC: The Hierarchical significance

    Many overlook the importance of SOC during coding. It’s crucial to ensure that the closest LLTs categorized under the correct system class according to the report.

    In some cases, an LLTs may appear under multiple SOCs. Blindly coding based only on the LLT can have assigned to the wrong system, rather than the one actually reported.

    📢 Recommendation: Click here to learn more about strategies to choosing closest LLTs.

    Key Takeaways

    SOCs are organized based on systems and organs, reflecting the occurrence of adverse events.

    There are currently 27 SOCs, each carefully classified to ensure comprehensive coverage.

    These 27 SOCs are clearly defined, encompassing systems, organs, as well as investigations and product complaints.

    SOCs follow a single-axis search strategy, simplifying the classification process.

    SOC is the top level in the MedDRA hierarchy and contains the fewest terms compared to other levels.

    Conclusion

    This write-up provides a brief overview of MedDRA, with a particular focus on SOC. As a key element in MedDRA’s hierarchy, SOC plays a crucial role in organizing adverse event data.

    Do you think we missed anything important?

    Feel free to share your thoughts or suggestions in the comments. If you found this post helpful, consider sharing it with your colleagues.

    Thanks for reading!

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    4 Comments

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