Procedures with explicit context describe situations where a medical procedure’s status, timing, or relationship to the patient is specified. These concepts clarify whether a procedure is planned, completed, or not done, among other statuses.
The default values for the context attributes for procedures assume that the procedure has occurred, is current or at a specified time, and pertains to the subject of the record.
The SNOMED CT concept
698306007 |Awaiting transplantation of kidney (situation)| |
describes a patient’s status as they await a kidney transplant. A key attribute here is
363589002 |Associated procedure (attribute)| |
Associated procedure, which is
70536003 |Transplant of kidney (procedure)| |
. This indicates that the focus of the situation is the upcoming kidney transplantation procedure. Additionally, the concept includes the
408730004 |Procedure context (attribute)| |
as
385643006 |To be done (qualifier value)| |
To be done, specifying that the transplant is planned but not yet performed, and it applies to the patient at the
410512000 |Current or specified time (qualifier value)| |
.
The SNOMED CT concept
704202004 |Lung transplant planned (situation)| |
represents a planned lung transplant for a patient. A key attribute here is
408730004 |Procedure context (attribute)| |
397943006 |Planned (qualifier value)| |
. This attribute indicates that the lung transplant is scheduled for the future and has not yet been performed. Additionally, the concept includes
363589002 |Associated procedure (attribute)| |
as
88039007 |Transplant of lung (procedure)| |
, specifying the type of procedure planned. The
408732007 |Subject relationship context (attribute)| |
is
410604004 |Subject of record (person)| |
, indicating that the procedure pertains to the patient themselves. The
408731000 |Temporal context (attribute)| |
is
410512000 |Current or specified time (qualifier value)| |
, showing that the procedure is relevant at the present time or based on a specific schedule.
The SNOMED CT concept
433977002 |Family history of mastectomy (situation)| |
represents the occurrence of mastectomy within a patient’s family history. A key attribute here is Subject relationship context, which is
303071001 |Person in the family (person)| |
. This attribute specifies that the mastectomy is related to a family member rather than the patient themselves. The concept also includes the associated procedure as
1231734007 |Excision of breast (procedure)| |
, indicating that the mastectomy was the specific procedure performed, and the procedure context as Done, reflecting that the procedure has been completed. The temporal context is
410511007 |Current or past (actual) (qualifier value)| |
, signifying that the procedure occurred in the past or is relevant at present.
The SNOMED CT concept
134651000119108 |History of estrogen therapy (situation)| |
details a patient’s past use of estrogen hormone therapy. A key attribute here is
408731000 |Temporal context (attribute)| |
, which is
410513005 |In the past (qualifier value)| |
. This attribute specifies that the estrogen therapy occurred in the past. Additionally, the concept includes
363589002 |Associated procedure (attribute)| |
as
243125009 |Estrogen hormone therapy (procedure)| |
, indicating the specific therapy administered, and
408730004 |Procedure context (attribute)| |
as
385658003 |Done (qualifier value)| |
, showing that the therapy was completed. The subject relationship context is
408732007 |Subject relationship context (attribute)| |
as
410604004 |Subject of record (person)| |
, signifying that the therapy pertains to the patient themselves.
