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Country | Date | Response | |
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Denmark | 20200130 | Concepts are not in use in Denmark, so no objections to clean up. | |
The Netherlands | 20200130 | The above mentioned concepts are not used in our diagnoses list. We do have some concepts that are subtypes like 'Spinal dislocation with complete cervical cord lesion (disorder)'. But I rather remodel them to be fully defined. So I totally agree with cleaning up that area! | |
US | 20200130 | No evidence of use of these codes in any value sets from VSAC. Interestingly, no evidence of use in relevant value sets, such as "Spinal Cord Injury", where many other codes are used. | |
Norway | 20200204 | We agree that these concepts should be inactivated. However, replacement concepts are needed. We propose not to precoordinate dislocation/subluxation concepts with the actual injury concepts. The word "lesion" seems to be very broad in meaning in English so in any case one could imagine the need to document more detailed what the actual injury is. Such concepts may exist already in SNOMED CT. For the dislocation/subluxation concepts we propose detailed concepts on the level of Cn-Tn-Ln, perhaps grouped into cervical, thoracic, lumbar.. 90584004 |Spinal cord injury (disorder)|with children will document any spinal cord injury when needed. | |
Australia | 20200205 | We're not aware of any usage (though don't have huge visibility). However, the few stakeholders I got feedback from agreed the "lesion" referred to in these concepts would (by rational logic) be in the same location as the dislocation, ie the dislocation caused the lesion. Could also indicate the severity of the dislocation or potential likely hood of certain consequences (e.g. ~90% of dislocations above T10 result in complete paraplegia and ~60% below T10 result in complete paraplegia). I agree with the comment above about the broad meaning of "lesion". 19130008 | Traumatic abnormality (morphologic abnormality) | is would be a better morphology. Given the assumptions I've made.. the concepts probably are ambiguous. | |
Member countries without a CMAG rep |
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