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Country response 


CountryDateResponse
US17AUG2021

Summary: No objection to removing the intent from "diagnostic endoscopy" codes.

Analysis: There is evidence of some "diagnostic endoscopy" codes in some value sets from the Value Set Authority Center (VSAC).

For example:

232516003 Diagnostic endoscopy of nose and sinuses (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
363071007 Diagnostic endoscopy (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
387718007 Diagnostic endoscopy of ureter (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
448121001 Diagnostic endoscopy of lower bowel using fiberoptic sigmoidoscope (procedure)

However, this broad value set (2.16.840.1.113883.3.88.12.80.28) seems to contain all 59k procedures and does not represent specific use of these concepts.


There are also "diagnostic endoscopy" codes in the value set Specimen Collection Method (2.16.840.1.113762.1.4.1062.5), including:

176178006 Diagnostic cystoscopy (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
287571005 Diagnostic bronchial aspiration (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96

In this case, the "diagnostic" aspect does not seem essential to the specimen collection process.


Finally, procedures other than endoscopy are sometimes reflective of an intent, e.g.:

236954006 Diagnostic amniocentesis with fluid replacement (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
265634005 Diagnostic percutaneous examination of fetus (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
265635006 Diagnostic amniocentesis (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96
443005005 Diagnostic amniocentesis using ultrasound guidance (procedure) SNOMEDCT 2021-03 2.16.840.1.113883.6.96

Should these be reviewed as well in a subsequent round of QA to remove intent from procedures?























Member countries without a CMAG rep

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