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EQUIVALENT_TO 
Ambiguous concept that requires intermediate deprecated inactive concepts

Mixed ambiguity with conjunction:

  • Concept
    t199779004 |Persistent occipitoposterior or occipitoanterior position - delivered (disorder)|
     has 2 possible meanings, neither of which exist in SNOMED CT:
    • POSSIBLY_EQUIVALENT_TO xxxxxxxx Persistent occipitoanterior presentation and now delivered
    • POSSIBLY_EQUIVALENT_TO yyyyyyyy Persistent occipitoposterior presentation and now delivered
  • However, both of these are compound clinical statements that should not be added as active concepts but are required in order to satisfy the requirement to ensure clinically safe reporting of historical data.
  • In addition is is necessary to resolve the conjunction that arises from the original concept.

Resolution:

  • Create 2 new concepts:
    •  
      Concept
      txxxxxxxx Persistent occipitoposterior presentation and now delivered (finding)
    •  
      Concept
      tyyyyyyyy Persistent occipitoanterior presentation and now delivered (finding)
    • Inactivate 

      Concept
      t199779004 |Persistent occipitoposterior or occipitoanterior position - delivered (disorder)|
       as ambiguous

      • POSSIBLY_EQUIVALENT_TO xxxxxxxx Persistent occipitoanterior presentation and now delivered (disorder)
      • POSSIBLY_EQUIVALENT_TO yyyyyyyy Persistent occipitoposterior presentation and now delivered (disorder)
  • Now resolve the 2 conjunctions:
  • Inactivate 
    Concept
    txxxxxxxx Persistent occipitoposterior presentation and now delivered (disorder)
    as a Classification concept
    • EQUIVALENT_TO 
Concept
t90381008 |Occipitoanterior position (finding)|
Concept
t236973005 |Delivery procedure (procedure)|
  • inactivate 
    Concept
    txxxxxxxx Persistent occipitoanterior presentation and now delivered (disorder)
    • EQUIVALENT_TO
      Concept
      t90381008 |Occipitoanterior position (finding)|
    • EQUIVALENT_TO 
      Concept
      t236973005 |Delivery procedure (procedure)|
  • ...