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Page properties

Status	In

review

PROD
Version	1.0

.9

Version in PROD

Descriptions:

Term

description

Description type	Language/acceptability	Language/acceptability	Case significance

[action (Distant/Local/ Local rotation/ Local transposition/Local advancement/Local pedicle/Distant pedicle) Flap reconstruction


Reconstruction of [Body structure] using [

method

action1] [agent] (procedure)

FSN

us:P

gb:P

ci

action (Distant/Local/ Local rotation/ Local transposition/Local advancement/Local pedicle/Distant pedicle) Flap reconstruction

Reconstruction of [Body structure] using [

method

action1] [agent]

SYN

us:P

gb:P

ci

action (Distant/Local/ Local rotation/ Local transposition/Local advancement/Local pedicle/Distant pedicle) Flap reconstruction

Reconstruction of [Body structure] with [action1]

with

[agent]	SYN	us:A	gb:A	ci
[

Body structure] reconstruction using [agent] optionalSYNus:Agb:Aci

action1] [agent] reconstruction

of

of [Body structure] (optional term)

SYN

us:A

gb:A

ci

Concept model:

action<<

Attribute Group Cardinality

Attribute cardinality

Attribute in Group Cardinality

Attribute

Value

0..0

1..1

Scg expression
116680003\|Is a (attribute)\|

Scg expression
71388002 \|Procedure (procedure)\|

0..1

Scg expression
363702006 \|Has focus (attribute)\|

Scg expression
< 404684003 \|Clinical finding (finding)\|

1..*

0..1

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

[Body structure]

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

1..1

Scg expression
260686004 \|Method (attribute)\|

[

action1]

Scg expression
<< 360032005 \|Flap reconstruction - action (qualifier value)\|

1..1

Scg expression
363701004 \|Direct substance (attribute)\|

[agent]

Scg expression
<< 256683004 \|Flap (substance)\|

0..1

Scg expression
363700003 \|Direct morphology (attribute)\|

[morph]

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

0..1

Scg expression
424876005 \|Surgical approach (attribute)\|

Scg expression
< 103379005 \|Procedural approach (qualifier value)\|

0..1

Scg expression
260507000 \|Access (attribute)\|

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

0..*

1..1

Scg expression
260686004 \|Method (attribute)\|

Scg expression
< 273248003 \|Action (attribute)\|

0..1

Scg expression
424226004 \|Using device (attribute)\|

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

0..1

Scg expression
405814001 \|Procedure site - Indirect (attribute)\|

Scg expression
< 91723000 \|Anatomical structure (body structure)\|

0..1

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

Scg expression
< 91723000 \|Anatomical structure (body structure)\|

0..1

Scg expression
363700003 \|Direct morphology (attribute)\|

Scg expression

< 49755003 |Morphologically abnormal structure (morphologic abnormality)|

...

0..1

Scg expression
363699004 \|Direct device (attribute)\|

Scg expression

...

< 49062001 |

...

Device (physical object)|

0..1

Scg expression
363701004 \|Direct substance (attribute)\|

Scg expression
<< 105590001 \|Substance (substance)\|

0..1

Scg expression
424876005 \|Surgical approach (attribute)\|

Scg expression
< 103379005 \|Procedural approach (qualifier value)\|

0..1

Scg expression
260507000 \|Access (attribute)\|

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

Definition status:

Scg expression
900000000000073002 \|Defined\|

Applies To:

Scg expression

<< 1202018003 |Reconstruction using flap 304039000 |Skin flap operation (procedure)|  OR  <<  74799003 |Flap graft (procedure)| OR (<< 71388002 |Procedure (procedure)| : 260686004 |Method (attribute)| = << 360032005 |Flap reconstruction - action (qualifier value)|)

Template language:

Scg expression

71388002 |Procedure (procedure)|:
[[~0..1]]{
[[~1..1]] 363702006 |Has focus (attribute)| = [[+id(< 404684003 |Clinical finding (finding)|)]]}
[[~1..* @reconstructionGroup]]{
[[~1..1]]  260686004 |Method (attribute)| = [[+id(<< 360032005 |Flap reconstruction - action (qualifier value)|)@flapprocedure]],
[[~0..1]]  405813007 |Procedure site - Direct (attribute)| = [[+id(< 442083009|Anatomical or acquired body structure (body structure)|)@bodyStructure]],
[[~1..1]]  363701004 |Direct substance (attribute)| = [[+id(<< 256683004 |Flap (substance)|)@flapsubstance@agent]],
[[~0..1]]  260507000 |Access (attribute)| = [[+id(< 309795001 |Surgical access values (qualifier value)|  )]],
[[~0..1]]  424876005 |Surgical approach (attribute)|  = [[+id (< 103379005 |Procedural approach (qualifier value)| )]],
[[~0..1]]  363700003 |Direct morphology (attribute)| = [[+id(<<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)@morphology]]}
[[~0..* @actionGroup]]{
[[~1..1]] 260686004 |Method (attribute)| = [[+id(< 129264002 |Action|)]], 
[[~0..1]] 405813007 |Procedure site - Direct (attribute)| = [[+id(< 91723000 |Anatomical structure (body structure)|)]],
[[~0..1]]  260507000 |Access (attribute)| = [[+id(< 309795001 |Surgical access values (qualifier value)|  )]],
[[~0..1]]  424876005 |Surgical approach (attribute)|  = [[+id (< 103379005 |Procedural approach (qualifier value)| )]],
[[~0..1]] 405814001 |Procedure site - Indirect (attribute)| = [[+id(< 91723000 |Anatomical structure (body structure)|)]], 
[[~0..1]] 363701004 |Direct substance (attribute)| = [[+id (<< 105590001 |Substance (substance)|)]], 
[[~0..1]] 363699004 |Direct device (attribute)| = [[+id(< 49062001 |Device (physical object)|)]], 
[[~0..1]] 363700003 |Direct morphology (attribute)| = [[+id(< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], 
[[~0..1]] 424226004 |Using device (attribute)| = [[+id(< 49062001 |Device (physical object)|)]]}

Link to the misaligned concept report:

https://docs.google.com/spreadsheets/d/1amrnii-E1rYb0LtIv9c7n7khyEXY22GJnjgyxvI6veA1H1otmIkrcBo80mcqZ3A1wrxR07BXwLFkaNlXReUyOsY/edit#gid=0

Rules for description generation:

Apply General rules for generating descriptions for templates;
Apply Enhancements for the Template Language;
Description rules for the combination of method and flap;

Method	Process agent value	Pattern generated description	example
1193841002 \|Local flap reconstruction - action (qualifier value)\|	remove 'flap (substance)'	local + [processedAgentValue] + 'flap'	local flap
1193851001 \|Local flap reconstruction by advancement - action (qualifier value)\|	remove 'flap (substance)'	'local' + [processedAgentValue] + 'advancement flap'	local fascial advancement flap
1193842009 \|Local flap reconstruction by rotation - action (qualifier value)\|	remove 'flap (substance)'	'local' + [processedAgentValue] + 'rotation flap'	local muscle rotation flap
1196931005 \|Local flap reconstruction by transposition - action (qualifier value)\|	remove 'flap (substance)'	'local' + [processedAgentValue] + 'transposition flap'	local fascial transposition flap
1204227006 \|Local flap reconstruction by rotation advancement technique - action (qualifier value)\|	remove 'flap (substance)'	'local' + [processedAgentValue] + 'rotation advancement flap'	local rotation advancement flap
1193839003 \|Distant flap reconstruction - action (qualifier value)\|	remove 'flap (substance)'	'distant' + [processedAgentValue] + 'flap'	distant myocutaneous flap
1196928009 \|Regional flap reconstruction - action (qualifier value)\|	remove 'flap (substance)'	'regional' + [processedAgentValue] + 'flap'	regional flap

** if body site is intrinsic to the flap substance type no need to repeat in description and specify where harvested from.

JIRA ticket:

Jira

server	IHTSDO JIRA
serverId	b202d822-d767-33be-b234-fec5accd5d8c
key	INFRA-9180

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Concept model:

Definition status:

Applies To:

Template language:

Link to the misaligned concept report:

JIRA ticket: