Page History

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• • Concept
    t 431698006 |Adjustment of gastric banding using fluoroscopic guidance (procedure)|

     has Direct device of Surgical band (physical object)

Direct morphology

Direct morphology (attribute) describes the morphologically abnormal structure that is the direct object of the Method action.

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No relationship group can contain more than one Method (attribute).  If a procedure has more than one method, each Method (attribute) serves as the anchor of a separate relationship group that will contain any defining relationships that represent a direct object (and, where relevant, indirect object) of the Method's action.  This is true even if the different Methods each act on the same direct object.  Each relationship group can be thought of as representing a component of the procedure that involves a particular action.   

Occurrence

Occurrence (attribute) is applied to procedures during a period of life.  For example, procedures related to the gravid uterus should be modeled by the combination of the occurrence of the maternal pregnancy period and the uterus.

Priority

Priority (attribute) is used when a procedure concept specifies a priority.  This attribute is self-grouped.  

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• • Concept
    t 128323000 |Revision of implant (procedure)|

     has has a Revision status (attribute) of Revision - value (qualifier value)

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Using access device (attribute) specifies the instrument or equipment used to access the site of a procedure.

For example, 

• • Concept
    t 274323008 |Endoscopic biopsy of colon (procedure)|

    has a Using access device (attribute) of Colonoscope, device (physical object)

Using device

Using device (attribute) refers to the instrument or equipment utilized to execute an action. It is used when the device is actually used to carry out the action, that is the focus of the procedure. If the device is simply the means to access the site of the procedure, then Using access device is the appropriate attribute.

For example, 

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Endoscopes

Many procedures can be carried out using tools attached to or operated via channels within the endoscope. In some cases the device IS used for access (such as endoscopy of the GI tract), e.g. ERCP in particular allows you to both visualize and operate upon the sphincter of Oddi/ampulla of Vater using cutting devices (knives or wires etc.) and then passing a basket up into the CBD to remove stones. The correct attribute for the device is USING ACCESS DEVICE.

Using device

Using device (attribute) refers to the instrument or equipment utilized to execute an action. It is used when the device is actually used to carry out the action, that is the focus of the procedure. If the device is simply the means to access the site of the procedure, then Using access device is the appropriate attribute.

For example, 

• • Concept
    t 51064005 |Core needle biopsy of larynx (procedure)|

    has a Using device (attribute) of Core biopsy needle, device (physical object)

Endoscopes

When an Incision role group is included in the concept model, then |Using device| attribute is appended to the Inspection role group. For example, access to either the abdominal cavity or a joint capsule is achieved by an ordinary incision using a scalpel blade. The laparoscope or arthroscope is then introduced into the cavity through the incision, i.e. the endoscope is not the access device.

Using energy

Using energy (attribute) refers to the energy used to execute an action. 

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