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It appears that we have two concepts for the qualifier ANATOMIC LOCATION PROPERTY: 550001000004103 in Nebraska Lexicon as a subtype of LOCATION PROPERTY  and 758637006 in SI.  We need to agree on resolution of the duplication.

My bad that I did not followup and correct our extension.  I will do so, substituting the International release concepts.  We also created 530001000004102|Radial direction property(qualifier)| IS_A 118598001|Measurement property(qualifier)| for specifying the observations which are based on clock-face orientation describing the location of breast cancers and colon cancers.  I do not see any such in SNOMED International, is that correct?

Jim

I think I need a clarification here.  We have stated intention for SNOMED International to deploy our pathology module to the International release.  Will that not include Qualifiers, Body structures and related content that we have developed to support the logical definition of the pathology and genomic concepts necessary for CAP Cancer Protocols?  530001000004102|Radial direction property(qualifier)| is a necessary value for definition of breast and colon cancer concepts.  I understand from Jim Case that material promoted from an extension RETAINS the SNOMEDCT ConceptID as it migrates to the international release

Jim

Doing a quick review of the FSNs within the pathology module, I find Body structures, Findings, Observable entities, Situations and Qualifiers in numbers as listed below. Some of the properties need inactivation per previous discussion but I see a number of concepts that have not been promoted to International release
Jim

Body structures
Margins 26
Gene loci 410
Morphologic abnormalities 35
Clinical finding
Finding 41
Observable entity 628
Situation 11
Qualifiers (Properties and Techniques) 38

About a year ago I spoke with Jim Case regarding the use of precoordinated SNOMED CT in the pathology build and he gave me verbal approval to employ the Observables concept model to further define the concepts where the meaning seemed clear so that we would not have to create duplicate concepts for what already appeared in SNOMED CT.  Therefore there are multiple observables in the International release, primarily 'grouper' concepts that we have defined, sometimes with Nebraska Lexicon attributes or values.  For example:

371441004|Histologic type of tumor|(defined) isa Tumor observable Inheres in = Proliferative mass and Property = Histologic cell type

These concepts are in the core module but the application of the concept model for definition is work that has come from Nebraska.  I assume that the requesting NRAs should also specify definitional work for precoordinated Observables that are in the realm of anatomic, molecular pathology and genomics.

Jim

Inventory of attributes in use in Nebraska Lexicon not in International release:

Properties: 1) Chromosomal structural rearrangement; 2) Gene amplification; 3) Location(to be deactivated); 4) Anatomic location(TBD); 5) Process property; 6) Sequence variant ptroperty

Techniques: 1) Anatomic pathology - technique (lots) tried to attach graphic; 2) Molecular genetics techniques (6);  3) Numeric estimation by biplane method of disks; 4) Protein examination technique; 5) Immunohistochemistry; 

Thanks for the correction Suzanne.  I missed that on review

 Jim