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5. Construction
The attached file is a listing of the concepts present in the 20180131 release if of SNOMED International:
https://docs.google.com/spreadsheets/d/1K1LhTklXJl8GhRGMN6G6j3xuX3HfGa7UoQS-0hiBRB8/edit?usp=sharing
Some identified issues;
- Most definitions include the neonatal period in definitions of "Postnatal period". Given the variable use of the term to represent disorders occurring both antenatally as well as the clinical manifestation of genetic/hereditary diseases, these will need to be researched individually for the correct assignment.
- Some disorders that are developmental but manifest later in life are currently classified as acquired. AMA definition excludes genetic diseases even if manifesting later in life.
- Missing some “musculoskeletal structure of X” concepts for deformities
- Due to existence of primitive concepts, there is a need to inactivate duplicates that arise when the standard pattern is assigned. For example:
- 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.
- Periods of life assignment where the onset is at one stage of life but persists throughout the rest of life. How to assign OCCURRENCE?
- Some concepts contain the phase "congenital OR acquired". Inactivate and replace?
6. Transition phase
| Item | Status |
|---|---|
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