Page History

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Acceptable naming pattern

FSN: <procedure> declined (situation)

PT:  <procedure> declined 

SYN: <procedure> refused  (This is optional.)

• • • 736013005 |Body weight measurement declined (situation)|

Unacceptable naming patterns

The following naming patterns are no longer accepted for addition to the International Edition:

Procedure offered

Procedure not offered

Procedure done

Procedure not done

Note that

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 385658003 |Done (qualifier value)| (a descendent of 410523001 |Post-starting action status (qualifier value)|) remains in use as the target value of the 408730004 |Procedure context (attribute)| in History of <procedure> concepts.

Not every naming pattern is found in the Pre-coordination Naming Pattern project.  Some naming patterns can be prescribed in templates.  Others can come from trackers or fast track documents, such as the examples below. 

No known allergy

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716186003 |No known allergy (situation)|

FSN:  No known allergy (situation)

PT: No known allergy

SYN: NKA -

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No known

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allergy

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For example, 428197003 |No known insect allergy (situation)|

FSN: No known insect allergy (situation)

PT: No known insect allergy

History of finding or disorder occurring in past pregnancy

For concepts relating to a history of a finding, disorder, procedure, or event occurring in a past pregnancy of the subject of the record, use an FSN and PT of |Past pregnancy history of X (situation)|.   These concepts are subtypes of 271903000 |History of pregnancy (situation)|. 

For example, 

161804005 |Past pregnancy history of antepartum hemorrhage (situation)| is a subtype of 271903000 |History of pregnancy (situation)|

For content relating to family history, this must be specified in both the FSN and preferred term to distinguish between past pregnancy of the subject of the medical record. 

For example,

|Past pregnancy history of neonatal death (situation)| versus |Family history of neonatal death (situation)|