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  • Outside of the scope of ICD 10 (
    Concept
    ShowPartsid+term
    t447636002 |Map source concept is outside of the
    scope of
    scopeof target classification|
    ), no mapping is possible. Due to validation issues encountered related to lack of reproducibility of selection, this mapCategoryId has been demoted and replaced by "cannot be classified".
  • The map source concept is properly classified (
    Concept
    ShowPartsid+term
    t447637006 |Map source concept is
    properly classified
    properlyclassified|
    ) within the target ICD 10 classification for this Map member, so no additional data is necessary for selection of this target code of the map (Exemplar: One to one: #1-10).
  • The map source concept cannot be classified (
    Concept
    ShowPartsid+term
    t447638001 |Map source concept
    cannot be
    cannotbe classified with available data|
    ) and cannot be assigned a target. This may be chosen when the source concept is not appropriate for assignment of an ICD-10 classification. (Exemplar: NotClassifiable: #1-19), when the source concept cannot be assigned a granular classification specified by ICD-10, as a default map when context must be employed for an accurate map or when the source concept must specify gender or age for assignment of an ICD-10 classification and context is not specified (Exemplar: Gender: #3-5).

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  • The source concept is ambiguous (
    Concept
    ShowPartsid+term
    t447640006 |Source SNOMED CT concept is ambiguous|
    ) in its SNOMED CT definition; ambiguity is undergoing resolution before map classification can be concluded. See definition of ambiguity in 11.1.1.
  • Guidance from WHO is ambiguous (
    Concept
    ShowPartsid+term
    t447635003 |Mapping guidance from WHO is ambiguous|
    ) relative to the map target; awaiting clarification from WHO.

mapRule: A machine-processable truth statement created to evaluate to "true" or "false" at run-time, which determines whether the Map member should be validated as the correct link to the associated map target for the mapGroup being evaluated.

Formatting of the mapRule is specified in Augmented Bacchus Naur Form (ABNF) in Appendix A but generally is one of three forms:

  1. IFA Concept.id | FULLY SPECIFIED NAME |
    Scg expression
    ShowPartsterm
    [= VALUE]: a mapRule which evaluates for the existence of one or more SNOMED CT concept instances including their descendant concepts, or an observable and value found in the patient record. The concept is designated by the SNOMED CT Identifier for a clinical finding or observable entity and the SNOMED CT fully specified name. In the case of rules for age at onset of clinical finding or current chronological age, it may include a range of allowable "VALUES". If such an instance is found in the patient record at the time of rule evaluation, the rule is evaluated as "true" and the associated map target is selected for that mapGroup. Otherwise the rule evaluates as "false" and the run-time evaluation proceeds to the next Map member within the mapGroup. The mapAdvice for the record will include a readable statement relating the rule and map target.
  2. TRUE: applied when a mapRule is not relevant for evaluation of the Map member and the Map member should always be accepted as valid.
  3. OTHERWISE TRUE: employed as the rule in the final mapPriority record when a series of rules must be evaluated to determine the valid map target. This is the case when none of the rules are satisfied or when there is no additional patient context information available. A default target code may or may not be specified with this value for mapRule depending whether the mapCategoryId is properly classified (
    Concept
    ShowPartsid+term
    t447637006 |Map
    source concept
    sourceconcept is properly classified (foundation metadata concept)|
    ) or non-classifiable (
    Concept
    ShowPartsid+term
    t447638001 |Map source concept cannot be classified with available data (
    foundation metadata
    foundationmetadata concept)|
    ).

mapAdvice: human-readable textual advice that a software vendor may employ to inform the clinician user or the classification expert during a semi-automated mapping session. The mapAdvice has three components separated by vertical bar ("|"):

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