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Wondering if Clinical Course would need to be grouped

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  1. Ronald Cornet
    2022-12-02 11:38

    NB: Not sure where to report this, hence I put it in our MAG.

    I notice that clinical course is an ungrouped attribute, or rather, in a relationshipgroup without other attributes.

    However , given the concept : 230280008 |Progressive aphasia in Alzheimer's disease (disorder)|

    Here the aphasia is progressive, the Alzheimer not (necessarily).

    It seems a problem to me that this can not be distinguished.

    Because if I query << 52448006 : 263502005 = 255314001 i.e., progressive dementia, progressive aphasia in Alzheimer's disease is included as a subtype.


    Is this a (modeling) bug or a feature?

    Thanks for any advise!

    Best, Ronald

    Reply
    1. Yongsheng Gao
      2022-12-02 12:57

      Hi Ronald Cornet   clinical course attribute is grouped by the MRCM specification. https://authoring.ihtsdotools.org/mrcm/?branch=MAIN&domain=404684003&attribute=263502005&range=723596005

      However, the 'clinical cause' has not been grouped with other attributes in the existing content. Theoretically, this could cause incorrect classification if two or more concurrent conditions have different clinical courses. The association is arbitrary between the conditions and their clinical courses. This issue was identified when we worked on the model for associations of conditions. However, the potential issue has not been addressed because we do not have many examples. Hence, the benefit is not obvious for remodelling a large number of existing content. Many thanks for providing the example.  I will propose to review the self-grouped attributes at the next MAG meeting in April 2023. 


      Reply
  2. Ronald Cornet
    2022-12-06 10:19

    Thanks for clarifying and scheduling this for the MAG, Yongsheng Gao .

    Reply
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