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A self-grouped attribute is an attribute that, by editorial guidance, must be placed in an attribute group on its own. These are listed in Table 5.3.2.2-1.

Transformation Preconditions

This transformation will be applied to all loose attributes that meet the following conditions:

  • The attribute applies to the MRCM domain of the focus concept
  • Only one instance of the attribute is stated in the CTU expression
    • Although the MRCM allows multiple instances, this transformation condition aims to avoid misinterpretation of the intended meaning
  • Either:
    • The attribute type is not already used in the necessary normal form of the focus concept
      • For example, if the focus concept already has a |Due to| attribute in the NNF then an expression including |Due to| would not be accepted
    • The attribute type is already used in the necessary normal form of the focus concept and the value is equal to or a subtype of the existing value
      • I.e. it represents a refinement


Table 5.3.2.2-1: Self-grouped attributes and the domain they apply to.

DomainAttribute
Clinical finding

before
during
after
due to
clinical course

temporally related to

associated with

Procedurepriority
has focus

Please refer to the Editorial Guide for instructions on the use and the implied meaning of these attributes:

As part of the expression transformation process, the terminology server will place the attributes in groups on their own, as shown in the examples below.

Table 5.3.2.2-2: Examples of CTU expressions candidate to this pattern, and their evaluation at level 1.


CTU expressionAccept/rejectNotesClassifiable form

84229001 |Fatigue| : 255234002 |After| 840539006 |COVID-19|

AcceptThe focus concept |Fatigue| is not already defined with an |After| attribute and the MRCM permits it to be added as an additional qualifier
Reject

The focus concept |Open fracture| is already defined with a |Due to| attribute, and the  new value of 57168000 |Operation on bone| is not a subtype of 773760007 | Traumatic event| that is already used in the definition of that focus concept 

N/A
Accept

The focus concept | Appendectomy|  is not defined with a | Priority|   attribute, and the MRCM permits it to be added as a new qualifier



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