SNOMED CT Templates

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StatusIn progress
Version0.5

Descriptions:

Termdescription typeLanguage/acceptabilityLanguage/acceptabilityCase significance
[Course] [Periods of life] [Process] [Morphology] of [Body structure] due to/temporally related to [Clinical Finding / Disorder/Event/Procedure](disorder)FSNus:Pgb:Pci
[Course] [Periods of life] [Process] [Morphology] of [Body structure] due to/temporally related to [Clinical Finding / Disorder/Event/Procedure]SYNus:Pgb:Pci

Concept model:

Attribute cardinalityAttribute cardinality in role groupAttributeValue
1..10..0

116680003 |Is a (attribute)|

<< 64572001 |Disease (disorder)|

0..10..1

263502005 |Clinical course (attribute)|

<  288524001 |Courses (qualifier value)|

0..10..1

42752001 |Due to (attribute)|

<  404684003 |Clinical finding (finding)| OR <  272379006 |Event (event)| OR << 71388002 |Procedure (procedure)|

0..10..1

47429007 |Associated with (attribute)|

< 260787004 |Physical object (physical object)|

0..10..1

<< 726633004 |Temporally related to (attribute)|

<  404684003 |Clinical finding (finding)| OR <  272379006 |Event (event)| OR << 71388002 |Procedure (procedure)|

0..10..1

116676008 |Associated morphology (attribute)|

<  49755003 |Morphologically abnormal structure (morphologic abnormality)|

0..10..1

363698007 |Finding site (attribute)|

<  123037004 |Body structure (body structure)|

0..10..1

246075003 |Causative agent (attribute)|

<  261217004 |Substance (attribute)| OR <  78621006 |Physical force (physical force)| OR <  260787004 |Physical object (physical object)| OR <  410607006 |Organism (organism)|  OR <<  373873005 |Pharmaceutical / biologic product (product)|

0..10..1

246454002 |Occurrence (attribute)|

<  282032007 |Periods of life (qualifier value)|

0..10..1

370135005 |Pathological process (attribute)|

<   308489006 |Pathological process (qualifier value)|

0..10..1

363714003 |Interprets (attribute)|

< 363787002 |Observable entity (observable entity)|

0..10..1

363713009 |Has interpretation (attribute)|

<    260245000 |Findings values (qualifier value)|   OR <    263714004 |Colors (qualifier value)|

Definition status:  


900000000000073002 |Defined (core metadata concept)|

Applies to

<<  64572001 |Disease (disorder)|

Template Language

64572001 |Disease (disorder)|  : 
[[~0..1]]  {  263502005 |Clinical course (attribute)|  = [[ +id ( <  288524001 |Courses (qualifier value)|    ) @course]] } , 
[[~1..1]] {  [[~1..1]]  42752001 |Due to (attribute)|  = [[+id ( <  404684003 |Clinical finding (finding)| ) @dueto ]] }, 
[[~0..1]] {   255234002 |After (attribute)|   = [[+id (<  404684003 |Clinical finding (finding)| ) @dueto ]] }
[[~1..1]] { [[~0..1]]  116676008 |Associated morphology (attribute)|  = [[+id( <  49755003 |Morphologically abnormal structure (morphologic abnormality)|  ) @morphology ]], 
[[~0..1]]  363698007 |Finding site (attribute)|  = [[+id( <  123037004 |Body structure (body structure)|  )]], 
[[~0..1]]  246075003 |Causative agent (attribute)|  = [[ +id ( <  105590001 |Substance (substance)|   OR
<  410607006 |Organism (organism)|  OR 
<  78621006 |Physical force (physical force)|  OR 
<  260787004 |Physical object (physical object)|  ) @causative]],
[[~0..1]]    246454002 |Occurrence (attribute)|  = [[ +id( <  282032007 |Periods of life (qualifier value)|  ) @occur]], 
[[~0..1]]    370135005 |Pathological process (attribute)|  = [[ +id ( <  308489006 |Pathological process (qualifier value)|    ) @proc]] },
[[~0..1]] { [[~1..1]]  363714003 |Interprets (attribute)|   = [[ +id ( <  363787002 |Observable entity (observable entity)| )]] ,
[[~1..1]]  363713009 |Has interpretation (attribute)|   = [[ +id ( <  260245000 |Findings values (qualifier value)|  OR <    263714004 |Colors (qualifier value)| )]] }

Link to the misaligned concept report

Due to Disease - https://docs.google.com/spreadsheets/d/1I_Bv8OZAFwikvpGorX03XqKplzbCdsrxIi4UG6u85AQ/edit#gid=0

Due to Disease or Procedure - https://docs.google.com/spreadsheets/d/10P1850T9c8PtmKL4EfiGEPZDSgbf6WFdDFckl1Xixzw/edit#gid=0

Rules for generating descriptions:

  1. Apply General rules for generating descriptions for templates

11 Comments

  1. Bruce Goldberg

    Peter G. Williams , please update template language

  2. Bruce Goldberg

    Template revised. 

    Peter G. Williams , please update template language

  3. Peter G. Williams

    Is it true that clinical course, due to and after are all self-grouped now?  Modifying...

    I don't think you'd want to actually define a concept with a clinical course of   288524001 |Courses (qualifier value)|  so I'll change that Descendant or Self << to just Descendant <

    I think I'd also like to make that change to all values in the interprets / has interpretation group.  Can you confim Bruce Goldberg?   I've done in that way in the template language.

    1. Bruce Goldberg

      Yes, that seems reasonable.

  4. Peter G. Williams

    Ok I think the template language is good now.  1903 misaligned concepts detected.  Seems to be mostly cardinality issues - multiple role groups containing morphologies or finding sites, see : https://docs.google.com/spreadsheets/d/150hpMi6JF3r4VQHsjLO-PCa1I8j6VBP6rH2G2emuVMA/edit#gid=0

  5. Bruce Goldberg

    Hi Peter G. Williams.

    I am beginning to think that this template may be too general which is the reason for the multiple cardinalities and role groups with morpholgies and finding sites. I was attempting to create something similar to Yong's starter template for simple disorders. I may be better off with individual templates for specific diseases as I am already doing

  6. Yongsheng Gao

    Hi Bruce Goldberg  I have updated the format of the concept model table, e.g. role groups are indicated by different colors rather than numbers. We could turn this template into a generic one for conditions with causal and temporal associations. It is possible to still include co-occurrent (and due to) with a finding. My suggestion for changes:

    1. The cardinalities for |due to| and |associated morphology| in the template language are not aligned with the model. They should be changed to 0..1 in the template language.
    2. The attribute cardinalities for |interprets| and |has interpretaion| in the concept model table should be changed to 0..1 as optional.
    3. The slot for |After| could be further extended to include other temporal associations, e.g. before, during.  The attribute can be changed to << 726633004 |Temporally related to (attribute)|  with a note for default value = |Due to|. The syntax for 'default' will be implemented later this year.
    4. We could also include an optional 47429007|Associated with (attribute)| in this template to cover conditions associated with devices etc.

    Cheers,

    Yong

  7. Bruce Goldberg

    Hi Yongsheng Gao.  It appears that you may want to make this template more generic by including devices, procedures (temporal relationships other than after such as during and before imo would only  apply to procedures) and events? I thought of that but I believe it may be less complicated to just have separate templates for Disorder with disorder, Disorder with procedure/surgical procedure and Disorder with event. I have created some of these but will also need some revisions.

    1. Yongsheng Gao

      Hi Bruce Goldberg, it is fine to have other generic templates for associations. In particular, co-occurrent could be covered by relaxing the cardinality in the simple disease template for templates to allow multiple role groups. The temporal association in this template can still be extended. Let's arrange a call when you are free to discuss how many top-level generic templates are needed and related to each other. 

      Cheers,

      Yong

      1. Bruce Goldberg

        Hi Yongsheng Gao. How about tomorrow after the QI call or Thus. at 16:00 UTC?

        1. Yongsheng Gao

          Thanks Bruce Goldberg, I sent a Zoom invite with notes.