SNOMED CT Templates

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Descriptions:

Termdescription typeLanguage/acceptabilityLanguage/acceptabilityCase significance
Accidental injury (disorder)FSNus:Pgb:Pci
Accidental injury
SYNus:Pgb:Pci

Concept model:

Attribute cardinalityAttributeValuerole group numberRole group cardinality
1..1

116680003 |Is a (attribute)|

64572001 |Disease (disorder)|

0N/A
0..1

263502005 |Clinical course (attribute)|

<<  288524001 |Courses (qualifier value)|

0N/A
1..1

42752001 |Due to (attribute)|

<<  418019003 |Accidental event (event)|

0N/A
1..1

116676008 |Associated morphology (attribute)|

<<  37782003 |Damage (morphologic abnormality)|

1

1..1


0..1

363698007 |Finding site (attribute)|

<  123037004 |Body structure (body structure)|

1
0..1

246075003 |Causative agent (attribute)|

1

Definition status:  


900000000000073002 |Defined (core metadata concept)|

Applies to

242056005 |Accidental injury (disorder)|

Template Language

116223007 |Complication (disorder)|  : [[~0..1]]   263502005 |Clinical course (attribute)|   = [[ +id (<   288524001 |Courses (qualifier value)|   ) @course]] , [[~1..1]]  42752001 |Due to (attribute)|  = [[+id (<<  64572001 |Disease (disorder)|  OR <<  71388002 |Procedure (procedure)| ) @dueto ]], [[~1..1 @rolegroup]]{ [[~0..1]]   116676008 |Associated morphology (attribute)|   = [[+id(<<  49755003 |Morphologically abnormal structure (morphologic abnormality)|   ) @morphology ]], [[~0..1]]   363698007 |Finding site (attribute)|   = [[+id(<   123037004 |Body structure (body structure)|   )]], [[~0..1]]   246454002 |Occurrence (attribute)|   = [[ +id(<   282032007 |Periods of life (qualifier value)|   ) @occur]], [[~0..1]]   370135005 |Pathological process (attribute)|   = [[ +id ( <   308489006 |Pathological process (qualifier value)|   ) @proc]], [[~0..1]]   246075003 |Causative agent (attribute)|   = [[ +id (<   410607006 |Organism (organism)|   OR <   105590001 |Substance (substance)|   OR <   78621006 |Physical force (physical force)|  OR <   260787004 |Physical object (physical object)|   ) @causative]] }

Link to the misaligned concept report

Due to Disease - https://docs.google.com/spreadsheets/d/1I_Bv8OZAFwikvpGorX03XqKplzbCdsrxIi4UG6u85AQ/edit#gid=0

Due to Disease or Procedure - https://docs.google.com/spreadsheets/d/10P1850T9c8PtmKL4EfiGEPZDSgbf6WFdDFckl1Xixzw/edit#gid=0

Rules for generating descriptions:

  1. Apply General rules for generating descriptions for templates
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9 Comments

  1. Jim Case

    What is the use case for CLINICAL COURSE here.  Aren't all accidental injuries sudden onset?

  2. Bruce Goldberg

    I agree and I should probably delete this template based on the feedback in a previous ECE meeting regarding the use of accidental event to define accidental injuries. Maybe we need a new inadvertent event concept?


    Bruce

  3. Yongsheng Gao

    Hi Bruce Goldberg

    This would be a sub-template of Traumatic injury of body structure template. The further restriction is due to <<  418019003 |Accidental event (event)| that is a subconcept of |Traumatic event|. I think we do not need |Damage| morphology as a restriction anymore following our latest discussion.  There are a large number of concepts under Accidental injury. So, it would still be useful to have this template for convenience.

    1. Jim Case

      There are "accidental injuries" and "accidental traumatic injuries".  The accidental event hierarchy needs to be revised to distinguish betwee the two so that certain accidents that are not traumatic do not classify under traumatic injury.  One example is "accidental poisoning"

  4. Bruce Goldberg

    I think I mentioned ion the past that Accidental injury needs to be move out from under Traumatic event to Event. Sufficiently defining accidental traumatic injuries might require a new event of Accidental traumatic event as a child of Accidental event + Traumatic event

    1. Jim Case

      Bruce Goldberg,


      I have done some testing of moving accidental event out from under traumatic event.  This results in a very large amount of rework in that subhierarchy to ensure that real traumatic accidents are classified correctly.  There is no need to add a new grouper, as identifying traumatic accidents can be done by just adding traumatic event as an additional parent.

  5. Bruce Goldberg

    Jim, Maybe I am missing something but accidental injuries are disorders and you are saying adding Traumatic event which is an event as an additional parent? Wouldn't traumatic accidents require 2 due to relationships, accidental event and traumatic event to be SD? I thought we were trying to stay away from multiple due tos which is why I suggested creating a combined event.

    1. Jim Case

      Bruce Goldberg,

      Sorry, I was not clear.  By moving Accidental event out from under traumatic event, many traumatic accidents would not classify correctly.  So what needs to be done is a systematic review of the subtypes of 418019003 |Accidental event (event)| and the assignment of an additional parent of 773760007 |Traumatic event (event)| to those that are by nature traumatic (it is not all of them), after reassigning the parent of 418019003 |Accidental event (event)| to 272379006 |Event (event)|. 

      This would allow those conditions due to traumatic accidents to continue to classify under traumatic injury, but those that are not necessarily traumatic to classify under Traumatic or non-traumatic injury.

      1. Bruce Goldberg

        OK. That makes sense.