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The terminology server will accept CTU expressions matching the following pattern:

  [[+ (<  404684003 |Clinical finding|  ) @finding]]:
      
272741003 |Laterality|   = [[+ (< 182353008 |Side|  ) @side]]

The transformation of expressions following this pattern will include the following steps:

  1. Copy the defining properties and role groups of the focus concept (as present in the NNF) to the classifiable form expression

  2. Replace the value of the |Finding site| attribute with a nested expression:

From: @finding. 363698007 |Finding site|  = @bodySite

To:   363698007 |Finding site|  = (@bodySite:  |Laterality|   = [[+ @side]] )

Important Notes

The terminology server will only accept expressions complying to this pattern if the focus concept of the CTU expression has the following characteristics:

  • The focus concept
    • includes only one role group with a |Finding site| attribute OR
    • includes two or more role groups with a |Finding site| attribute WHERE
      • the value of the finding site attribute in each role group is the same concept
    • includes no attributes with values that are already lateralized anatomical structures (ie values whose own definitions already include a value for the 272741003|Laterality| attribute)
  • The value of the finding site attribute is a member of the 723264001 | Lateralizable body structure reference set|
    • being a member of this refset means that the associated body structure is lateralizable, and does not already state a laterality other than 182353008 |Side|

Table 5.3.2.5-1: Examples of CTU expressions and their evaluation at level 1

CTU expressionAccept/rejectNotesClassifiable form
RejectThe modeling of |Acute pain| does not contain a |Finding site| attributeN/A
RejectThe value of the |Finding site| attribute (i.e. 818983003 |Abdomen|) is not lateralizableN/A
AcceptThe value of the |Finding site| attribute (i.e. 117590005 |Ear structure|) is lateralizable
RejectThe focus concept includes two groups with a |Finding site| attribute in each. The values of the |Finding site| attribute are not the same concept not do they subsume each otherN/A
RejectThe focus concept includes two groups with a |Finding site| attribute in each. The values of the |Finding site| attribute are not the same concept and one of the |Finding site| values is already lateralized while the other is not lateralizable.N/A

288228002 |Myalgia/myositis - forearm| 272741003 |Laterality| = 7771000 |Left|  

288228002 |Myalgia/myositis - forearm (finding)|

Reject

The focus concept includes two groups with a |Finding site| attribute in each.

Both of the two  |Finding site| attribute values of the focus concept are lateralizable

The attribute values are not the same concept.

AcceptThe values of the two |Finding site| attributes of the focus concept is the same concept and this is lateralizable

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