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Version in PROD
StatusIn progressReady for implementation
Version

0.2

1.0


Descriptions:

Termdescription typeLanguage/acceptabilityLanguage/acceptabilityCase significance
[Access] [biopsy needledevice] biopsy of [morphology] of [body structure] using [imaging] guidance (procedure)FSNus:Pgb:Pci
[Imaging] guided [access] [biopsy needledevice] biopsy of [morphology] of [body structure]PTus:Pgb:Pci
[Access] [biopsy needledevice] biopsy of [morphology] of [body structure] using [imaging] guidanceSYNus:Agb:Aci

Example: 16446481000119106 |Percutaneous core needle biopsy of thyroid using ultrasonographic guidance (procedure)|


Concept model: 

Attribute Group CardinalityAttribute Cardinality

Attribute in Group Cardinality

AttributeValue
0..01..1


Scg expression
116680003|Is a (attribute)|



Scg expression
71388002 |Procedure (procedure)|


1..2
0..1


Scg expression
260507000 |Access (attribute)|



Scg expression
< 309795001 |Surgical access values (qualifier value)|



1..1


Scg expression
260686004 |Method (attribute)|


[imaging]

Scg expression
<< 360037004 |Imaging - action (qualifier value)| 



0..1


Scg expression
405813007 |Procedure site - Direct (attribute)|



Scg expression
< 442083009 |Anatomical or acquired body structure (body structure)|



1..1


Scg expression
363703001 |Has intent (attribute)|



Scg expression
429892002 |Guidance intent (qualifier value)|



0..1


Scg expression
424361007 |Using substance (attribute)|



Scg expression
385420005 |Contrast media (substance)|



0..1


Scg expression
424226004 |Using device (attribute)|



Scg expression
<<262182009 |Stereotactic device (physical object)|



0..1


Scg expression
425391005 |Using access device (attribute)|



Scg expression
<<49062001 |Device (physical object)|


1..2
0..1


Scg expression
260507000 |Access (attribute)|


[Access]

Scg expression
< 309795001 |Surgical access values (qualifier value)|



1..1


Scg expression
260686004 |Method (attribute)|



Scg expression
<< 129314006 |Biopsy - action (qualifier value)|



0..1


Scg expression
405813007 |Procedure site - Direct (attribute)|


[body structure]

Scg expression
< 442083009 |Anatomical or acquired body structure (body structure)|



0..1


Scg expression
363700003 |Direct morphology (attribute)|


[morphology]

Scg expression
<<  49755003 |Morphologically abnormal structure (morphologic abnormality)| 



0..1


Scg expression
424226004 |Using device (attribute)|


[biopsy needledevice]

Scg expression
<< 118377000 |Biopsy needle, device (physical object)| OR <<22566001 |Cytology brush, device (physical object)| OR <<360237009 |Vacuum aspirator (physical object)|



0..1


Scg expression
425391005 |Using access device (attribute)|



Scg expression
<<49062001 |Device (physical object)|


Definition status:  


Scg expression
900000000000073002 |Sufficiently defined by necessary conditions definition status (core metadata concept)|


Applies To:

Concept
t<< 277590007 |Imaging guided biopsy (procedure<< 71388002 |Procedure (procedure)| : 260686004 |Method (attribute)| = << 129314006 |Biopsy - action (qualifier value)| and 260686004 |Method (attribute)| = << 360037004 |Imaging - action (qualifier value)|

Template language: 

Scg expression
71388002 |Procedure (procedure)| : 
[[~1..12]] { 
[[~0..1]] 260507000 |Access (attribute)| = [[+id ( < 309795001 |Surgical access values (qualifier value)| ) @Accessaction1]],[[~1..1]] 260686004 |Method (attribute)| = [[ +id ( << 360037004 |Imaging - action (qualifier value)|) @Imagingaction ]], 
[[~0..1]] 405813007 |Procedure site - Direct (attribute)| = [[ +id (< 442083009 |Anatomical or acquired body structure (body structure)|) @Bodystructure@Bodystructure1 ]],
[[~1..1]] 363703001 |Has intent (attribute)| = 429892002 |Guidance intent (qualifier value)|,[[~0..1]] 424361007 |Using substance (attribute)| = 385420005 |Contrast media (substance)|, [[~0..1]] 424226004 |Using device (attribute)| = [[ +id ( <<262182009 |Stereotactic device (physical object)|) @Usingdevice ]],[[~0..1]] 425391005 |Using access device (attribute)| = [[ +id ( <<49062001 |Device (physical object)|) @Usingaccessdevice1 ]] },
[[~1..12]] { 
[[~0..1]] 260507000 |Access (attribute)| = [[+id ( < 309795001 |Surgical access values (qualifier value)| ) @Accessaction@Accessaction2]],
[[~1..1]] 260686004 |Method (attribute)| = [[+id ( << 129314006 |Biopsy - action (qualifier value)| ) @Biopsyaction]],
[[~0..1]] 405813007 |Procedure site - Direct (attribute)| = [[+id (< 442083009 |Anatomical or acquired body structure|) @Bodystructure@Bodystructure2 ]],
[[~0..1]] 363700003 |Direct morphology (attribute)| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)| ) @Morphology]], 
[[~0..1]] 424226004 |Using device (attribute)| = [[+id(<< 118377000 |Biopsy needle, device (physical object)| OR <<22566001 |Cytology brush, device (physical object)| OR <<360237009 |Vacuum aspirator (physical object)|) @Biopsydevice]],[[~0..1]] 425391005 |Using access device (attribute)| = [[ +id ( <<49062001 |Device (physical object)|) @Usingaccessdevice2 @Biopsyneedle]] }

Link to the misaligned concept report:

https://docs.google.com/spreadsheets/d/1e8BWrEH1rt6o-lfhi_Akz66hcG5UHHu0twOUFCiw98Q/edit#gid=01e13y7cb48bgKjjZKK-s-bJrKwty6zmCir9fA0P5oLx0/edit?usp=sharing

Rules for description generation: 

  1. Apply General rules for generating descriptions for templates;
  2. Apply Enhancements for the Template Language;If imaging method = CT - action, descriptions should be CT for Preferred term with CS (case sensitive) as value for the case significance or Computed tomography for a synonym; if imaging method = MRI -action, descriptions should be MRI for Preferred term with CS (case sensitive) for the case significance or Magnetic resonance imaging for synonym
  3. For magnetic resonance imaging guidance, the naming should be FSN: [Access] [biopsy needle] biopsy of [morphology] of [body structure] using magnetic resonance imaging guidance (procedure), PT: MRI guided [access] [biopsy needle] biopsy of [morphology] of [body structure] - This PT should use case significance CS, SYN: [Access] [biopsy needle] biopsy of [morphology] of [body structure] using magnetic resonance imaging guidance.
  4. For computed tomography guidance, the naming should be FSN: [Access] [biopsy needle] biopsy of [morphology] of [body structure] using computed tomography guidance (procedure), PT: CT guided [access] [biopsy needle] biopsy of [morphology] of [body structure] - This PT should use case significance CS, SYN: [Access] [biopsy needle] biopsy of [morphology] of [body structure] using computed tomography guidance.
  5. For ultrasonography guidance, the naming should be FSN: [Access] [biopsy needle] biopsy of [morphology] of [body structure] using ultrasonographic guidance (procedure), PT: Ultrasonography guided [access] [biopsy needle] biopsy of [morphology] of [body structure], SYN: [Access] [biopsy needle] biopsy of [morphology] of [body structure] using ultrasonographic guidance, SYN: [Access] [biopsy needle] biopsy of [morphology] of [body structure] using ultrasound guidance.
  6. For percutaneous fine needle aspiration biopsy, the descriptions should follow this example format: FSN: Percutaneous fine needle aspiration biopsy of X (procedure), PT: Percutaneous fine needle aspiration biopsy of X, SYN: Percutaneous fine needle aspiration of X, SYN: Percutaneous fine needle biopsy of X. Imaging guidance should be inserted in descriptions as appropriate.

JIRA ticket:

Jira
serverIHTSDO JIRA
serverIdb202d822-d767-33be-b234-fec5accd5d8c
keyQI-940
Jira
serverIHTSDO JIRA
serverIdb202d822-d767-33be-b234-fec5accd5d8c
keyQI-941

Jira
serverIHTSDO JIRA
serverIdb202d822-d767-33be-b234-fec5accd5d8c
keyINFRA-8933