SNOMED CT Templates

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StatusFor review
Version

0.5

Descriptions:

Termdescription typeLanguage/acceptabilityLanguage/acceptabilityCase significance[
[course] [periods of life] Repetitive motion disorder of [body structure] due to [repetitive routines] (disorder)FSNus:Pgb:Pci
[course] [periods of life] Repetitive motion disorder of [body structure] due to [repetitive routines]SYNus:Pgb:Pci
[course] [periods of life] overuse injury of [body structure] due to [repetitive routines]SYNus:Agb:Aci
[course] [periods of life] overuse syndrome of [body structure] due to [repetitive routines]SYNus:Agb:Aci
[course] [periods of life] Repetitive strain injury syndrome of [body structure] due to [repetitive routines]SYNus:Agb:Aci
[course] [periods of life] RSI - Repetitive strain injury of [body structure] due to [repetitive routines]SYNus:Agb:Aci
[course] [periods of life] RSIS - Repetitive strain injury syndrome of [body structure] due to [repetitive routines]SYNus:Agb:Aci
course] [periods of life] Repetitive strain injury of [body structure] due to [repetitive routines]SYNus:Agb:Aci
course] [periods of life] Repetitive stress injury of [body structure] due to [repetitive routines]SYNus:Agb:Aci


Concept model:

Attribute Cardinality

AttributeValuerole group numberRole Group Cardinality
1..1

116680003 |Is a (attribute)|

64572001 |Disease (disorder)|

0

N/A

1..1

116680003 |Is a (attribute)|

22253000 |Pain (finding)|

0N/A
0..1

263502005 |Clinical course (attribute)|

[Course] <   288524001 |Courses (qualifier value)|

0N/A
1..1

42752001 |Due to (attribute)|


<<  191992009 |Repetitive routines (finding)|

0

N/A




1..1

363698007 |Finding site (attribute)|

[Body structure] <<  38866009 |Body part structure (body structure)|   

11..1
0..1

246454002 |Occurrence (attribute)|

[Periods of life] <  282032007 |Periods of life (qualifier value)|

1

Definition status:  


900000000000073002 |Defined|

Applies To:

<<  788465007 | Repetitive motion disorder (disorder)|

Template language:

64572001 |Disease (disorder)|  : [[~0..1]]  263502005 |Clinical course (attribute)|  = [[ +id (<  288524001 |Courses (qualifier value)|  ) @course]] , [[~1..1]] 42752001 |Due to (attribute)|  = [[+id (<<  191992009 |Repetitive routines (finding)| )]], [[~1..1 @rolegroup]]{[[~0..1]]  363698007 |Finding site (attribute)|  = [[+id(<  442083009 |Anatomical or acquired body structure (body structure)| )]], [[~0..1]]  246454002 |Occurrence (attribute)|  = [[ +id(<  282032007 |Periods of life (qualifier value)|  ) @occur]]}

Link to the misaligned concept report:

https://docs.google.com/spreadsheets/d/13d7TmcAyhn6bg8j635aBmbkTi-wndcXmUkYuMgD6MV0/edit#gid=0

Rules for description generation: 

  1. Apply General rules for generating descriptions for templates;
  2. Apply Enhancements for the Template Language;

JIRA ticket:



6 Comments

  1. Yongsheng Gao

    Hi Bruce Goldberg  the RMDs is defined as a family of muscular conditions that result from repeated motions performed in the course of normal work or daily activities. https://www.ninds.nih.gov/Disorders/All-Disorders/Repetitive-Motion-Disorders-Information-Page.  A number of conditions have been mentioned in this document, however, these conditions can also be caused by other reasons. Repeated motions could be one contributing factor. How should we apply this template? 

  2. Bruce Goldberg

    Hi Yongsheng Gao. I think we should apply this template only to  4308002 |Repetitive strain injury (disorder)| (needs to be remodeled and renamed) and its descendants. At KP, I think we have more to donate. For other conditions that are due to RMDs, a parent or due to relationship to RMD may need to be added as appropriate.


    Bruce

  3. Yongsheng Gao

    Hi Bruce Goldberg, I have updated the model and descriptions.  Could you please update the template if it is different to yours?

    1. Bruce Goldberg

      Hi Yongsheng Gao. The model should not include a morphology of 308497004 |Strain - lesion (morphologic abnormality)|. I deleted the row with this relationship.


      Bruce

  4. Bruce Goldberg

    The FSN should also be Repetitive motion disorder of [body structure] due to [repetitive routines] (disorder). These are not really strain injuries. It sounds redundant but if we want to include subtypes of repetitive routines in the modeI then it seems necessary. I did not add overuse injury or overuse syndrome as descriptions in my modeling of this hierarchy but I can go back and  add them.


    Bruce

  5. Yongsheng Gao

    Hi Bruce Goldberg, I do not have a strong view on synonyms. Repetitive motion disorder seems to be a grouper concept that is intended to capture any conditions that are caused by repetitive motion. 

    Should the condition, such as carpal tunnel syndrome be classified under repetitive motion disorder? The conditions such as bursitis, tendonitis, epicondylitis, ganglion cyst, tenosynovitis, are often caused by repetitive motion but they could also be caused by other reasons. I think they can be classified under repetitive motion disorder if the cause of repetitive motion is specified in the model and FSNs. 

    Repetitive motion disorders are characterized by pain, tingling, numbness, visible swelling or redness of the affected area, and the loss of flexibility and strength. Inflammation seems to be one of the underlying causes of the symptoms. Pain is just one characteristic which might not always present. Is it necessary to have "pain" as its parent? 

    Should this condition be considered as a complication since we have the due to clinical finding in the modeling?