Content Managers Advisory Group

Page tree

You are viewing an old version of this page. View the current version.

Compare with Current View Page History

« Previous Version 4 Next »

Summary

There are three primitive subhierarchies under 263013004 |Dislocation of joint of spine (disorder)|:

-        312837005 |Spinal dislocation with cervical cord lesion (disorder)|

-        312839008 |Spinal dislocation with lumbar cord lesion (disorder)|

-        312838000 |Spinal dislocation with thoracic cord lesion (disorder)|

All of these have multiple primitive subtypes representing open and closed cord lesions of varying types, totaling 27 concepts.

Similarly, there are four additional primitive subhierarchies under 263039001 |Subluxation of joint of spine (disorder)|:

-        312792007 |Spinal subluxation with cauda equina lesion (disorder)|

-        312786001 |Spinal subluxation with cervical cord lesion (disorder)|

-        312788000 |Spinal subluxation with lumbar cord lesion (disorder)|

-        312787005 |Spinal subluxation with thoracic cord lesion (disorder)|

These also have primitive subtypes for a total of 36 concepts.  All of these concepts have effective dates of 20020131 and the source of these terms is unclear.

In the course of the quality improvement project, these concepts were evaluated for remodeling.  They are all currently modeled with a finding site of 8983005 |Joint structure of spine (body structure)| in  line with the FSN, which does not imply the location of the dislocation/subluxation in the spine.  This has led to the suggestion that these terms either represent a co-occurrent pre-coordinated term (i.e. dislocation of spine and spinal cord lesion, not necessarily in the same location on the spine), or implies that the dislocation and cord injury are at the same position, making the FSN vague and open to interpretation.  The former condition of co-occurrence is no longer accepted in the international release and the latter condition would warrant inactivation and possible replacement with more specific concepts representing the co-location of the injury.

SNOMED International would like to inactivate these terms due to the inherent problems as stated above.  We would like input from the CMAG as to whether replacement is warranted, or they should just be removed from the terminology.

 

Respectfully,

James T. Case DVM, PhD, FACMI

Head of Terminology

 

Relevant documents

  File Modified
No files shared here yet.

 

Actions

DateRequested actionRequester(s)Response required by:Comments
30 Jan 2020Feedback on spinal dislocation/ subluxation with cord lesion replacement requirements

Jim Case Cathy Richardson

  • Camilla Wiberg Danielsen  Please provide feedback on the need for replacement content- see summary.
  • Daniel Karlsson  Please provide feedback on the need for replacement content- see summary.
  • Sheree Hemingway  Please provide feedback on the need for replacement content- see summary.
  • Elze de Groot  Please provide feedback on the need for replacement content- see summary.
  • Linda Parisien  Please provide feedback on the need for replacement content- see summary.
  • Matt Cordell  Please provide feedback on the need for replacement content- see summary.
  • Olivier Bodenreider  Please provide feedback on the need for replacement content- see summary.
  • Jostein Ven  Please provide feedback on the need for replacement content- see summary.
  • Theresa Barry  Please provide feedback on the need for replacement content- see summary.
  • Katrien Scheerlinck  Please provide feedback on the need for replacement content- see summary.
Please post your final responses in the Country response table below. Discussion comments can be made as comments.

Links

Country response 

CountryDateResponse
Denmark 20200130Concepts are not in use in Denmark, so no objections to clean up.
   
   
   
   
   
   
   
Member countries without a CMAG rep  

 

CMAG response

DateCMAG ResponseNext steps
   
   
   

 

Final outcome: 

Date: 

 

  • No labels