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As part of the SNOMED Quality Initiative we are about to embark on a review of the hierarchies relating to Malignant neoplasms. We are aware that these have been based upon the content of ICD and we wish to establish an understanding of the descriptions used and their definitions.

The attached paper highlights the issues and asks a number of questions about the clinical terminology used by domain specialists.

I would be grateful if as many of you as possible could review the document and respond to the questions raised, either by use of the discussion forum below or directly by email.

The timescales for resolving these issues to enable implementation for the July 2019 release is short but any comments you have will contribute to the the wider consultation which is being held within a small number of national cancer registries. In particular we would value your thoughts from a clinical rather than classification perspective.

kind regards
Paul
Paul Amos
Principal Terminologist
SNOMED International
pam@snomed.org

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