SNOMED CT Templates

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StatusIn Progress
Version

1.0


Descriptions:

Termdescription typeLanguage/acceptabilityLanguage/acceptabilityCase significance
[Disease] due to [diabetes mellitus] (disorder)FSNus:Pgb:Pci
[Disease] due to [diabetes mellitus] (disorder)SYNus:Pgb:Pci


Concept model:

Attribute Cardinality

AttributeValuerole group numberAttribute Group Cardinality
1..1


116680003 |Is a (attribute)|


116223007 |Complication (disorder)|

0

N/A

0..1

116680003 |Is a (attribute)|

<<  404684003 |Clinical finding (finding)|

1..1

42752001 |Due to (attribute)|

<<  73211009 |Diabetes mellitus (disorder)|

1

1.1

0..1

263502005 |Clinical course (attribute)|

<<  288524001 |Courses (qualifier value)|

2

0..1

0..1

116676008 |Associated morphology (attribute)|

<<  118956008 |Body structure, altered from its original anatomical structure (morphologic abnormality)|

3
0..1
0..1

363698007 |Finding site (attribute)|

123037004 |Body structure (body structure)|

0..1

363714003 |Interprets (attribute)|

<<  363787002 |Observable entity (observable entity)|  OR <<  108252007 |Laboratory procedure (procedure)|  OR <<  386053000 |Evaluation procedure (procedure)|

40..1
0..1

363713009 |Has interpretation (attribute)|

<< 442705008 |Reference range interpretation value (qualifier value)|


Definition status:  


900000000000073002 |Defined (core metadata concept)|  

Applies To:

<< 74627003 | Diabetic complication (disorder) |

Template language:

116223007 |Complication (disorder)| : [[~0..1]] { [[~0..1]]  263502005 |Clinical course (attribute)|  = [[ +id (<  288524001 |Courses (qualifier value)|  ) @course]] } , [[~1..1]]  { [[~1..1]]  42752001 |Due to (attribute)|  = [[+id(<<  73211009 |Diabetes mellitus (disorder)| )]]  }, [[~0..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 @finRolegroup]]{[[~0..1]]  363714003 |Interprets (attribute)|  = [[+id (<<  363787002 |Observable entity (observable entity)|  OR <<  108252007 |Laboratory procedure (procedure)|  OR <<  386053000 |Evaluation procedure (procedure)|  )]], [[~0..1]]  363713009 |Has interpretation (attribute)|  = [[+id (<<  442705008 |Reference range interpretation value (qualifier value)|  )]]}

Link to the misaligned concept report:

Link to the report which include all complex patterns: https://docs.google.com/spreadsheets/d/1RgqkUUaXMRCgC7YlbTWBO2gfebZ5zFZFC1CU-sssjHY/edit#gid=0

Rules for description generation:

  1. Remove the semantic tag, e.g. (body structure)
  2. Add a synonym of the form [Disease] due to [diabetes mellitus]

10 Comments

  1. Yongsheng Gao

    Paul Amos ,  if this is a true "due to" association, the complication due to diabetes is not a subconcept of diabetes. Should the finding site of endocrine system be removed? 

  2. Paul Amos

    Hi Yongsheng Gao, I had wondered  whether that was the case. Lets remove it and see what happens.

  3. Yongsheng Gao

    Thanks Paul Amos, I have removed the endocrine system and added the template language. The report should return some misalignments, but it did not. Peter G. Williams  Could you please have a look at the template query. The example for the expected misalignment, e.g. 399866003 |Retinal venous beading co-occurrent and due to diabetes mellitus (disorder)|.

    1. Peter G. Williams

      Will do yes, could you raise an Infra ticket please?  I've got a lot to prioritise and that'll help ensure it doesn't get missed.   Thanks Yongsheng Gao


      1. Yongsheng Gao

        Cheers Peter G. Williams, The INFRA ticket is added  INFRA-3494 - Getting issue details... STATUS

  4. Yongsheng Gao

    Paul Amos  as Peter noted, we need to include complex because they were excluded by default. I added the link to the misalign concept report. Could you please look into the report? Cheers, Yong

  5. Paul Amos

    Yongsheng Gao a couple of questions:

    1. The role group for interprets and has interpretation looks as though I have used an incorrect |Has interpretation| value set. I have reviewed the guidance and I think it should be either be Evaluation procedure or a Laboratory procedure OR an Observable entity. The guidance is not very clear but I am guessing that it will have to be a laboratory procedure as we are constrained in the observables hierarchy due to the current LOINC agreement.
    2. It is not clear that the template language includes the second optional role group

  6. Yongsheng Gao

    Paul Amos , I have updated the range for attribute interprets. The cardinality is relaxed for attributes but role groups are limited 0..1 to identify any potential crossovers. The template language is updated to include clinical finding and refinements by the second role group. I have generated a new report. Please have a look.

    https://docs.google.com/spreadsheets/d/1DeMphvZuc0XbVPdZDleUuTJQEEUb-Y5xL5zzbqh4x0Q/edit#gid=0

    Peter G. Williams  Could you please have a look at the report.  It has false positive results, such as 237635002 Nocturnal hypoglycemia (disorder).


    1. Peter G. Williams

      The metadata tab on the spreadsheet shows that the template that was actually run was not the same as what was entered in the dialog box, and that 2nd interprets/has interpretation group was not considered.   Let me run the again with the 2nd role group included, tweaking the STL a bit.   I'm not sure about that section above that looks like a 2nd focus concept has snuck in  ( AND [[~0..1]][[+id(<<  404684003|Clinical finding (finding)| )]]: )   I'll run this instead:

      116223007 |Complication (disorder)| : [[~0..1]]  263502005 |Clinical course (attribute)|  = [[ +id (<  288524001 |Courses (qualifier value)|  ) @course]], [[~1..1]]  42752001 |Due to (attribute)| = [[+id(<<  73211009 |Diabetes mellitus (disorder)| )]] , [[~0..1]] { [[~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]] {[[~0..1]]  363714003 |Interprets (attribute)|  = [[+id (<<  363787002 |Observable entity (observable entity)|  OR <<  108252007 |Laboratory procedure (procedure)|  OR <<  386053000 |Evaluation procedure (procedure)|  )]], [[~0..1]]  363713009 |Has interpretation (attribute)|  = [[+id (<<  442705008 |Reference range interpretation value (qualifier value)|  )]]} 

      That's down to 124 results from 133 - https://docs.google.com/spreadsheets/d/100Q8ZGhrelJSsdkzEsOK_zIW2oWMGEG3XNsylgGE2FU/edit#gid=0

      237635002 Nocturnal hypoglycemia (disorder) for example, is no longer showing.

  7. Bruce Goldberg

    I think this template could  now be replaced by Clinical finding/Disease due Clinical finding/Disease