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There are currently approximately 690 774 (20180131 release) concepts in the Clinical findings and Disease hierarchy that contain the word "acquired" in the FSN. These are used clinically to differentiate clinical conditions that may be either congenital or acquired later in life. Most of Of these concepts , 449 are currently primitive and 275 are sufficiently defined. There are a number of issues related to the presence of these primitive concepts:
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The general pattern for revising the affected concepts is shown in the diagram below:
5. Construction
The tabel attached is a listing of the concepts present in the 20180131 release if SNOMED International
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Some identified issues;
- Some disorders that are developmental but manifest later in life are classified as acquired.
- Missing some “musculoskeletal structure of X” concepts for deformities
- Due to existence of primitive concepts, there is a need to inactivate:
- 367335002 - Claw hand - acquired (finding) DUPLICATE TO 367393006 - Acquired claw hand (disorder)
- Acquired forearm deformity, excluding fingers DUPLICATE to “Acquired forearm deformity as the fingers are not anatomically part of the forearm.
- Inactivate 45402003 – Juvenile disease (finding) as ambiguous.
- Add new body structure “Musculoskeletal structure of forearm (body structure)”
- Periods of life assignment where the onset is at one stage of life but persists throughout the rest of life. How to assign OCCURRENCE?
6. Transition phase
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