Inconsistencies Body Location (Mail Lionel Cremer 28/03/2023)

[bdc-ehealth]

Hello Maarten,

I just started the analysis for the "Body Location" feature and I have noted several inconsistencies in the Snomed codes (cf. ReferralPrescription_ValueSets_V3.xlsx) and the schema we've to use.

Here is the schema:

Here are some examples:

1. One of the snomed code is referring to a part of the brain and other codes are referring to specific parts of the brain cavity.\ (I've not found any template using that specifically, therefore I guess it must be available in the body location schema)\ Both values are not identifiable on the current body schema.

|

31640002

|

OCCIPITAL BONE STRUCTURE

789699009

|

STRUCTURE OF OCCIPITAL CONDYLE

78277001

|

TEMPORAL LOBE STRUCTURE

|\ 2. Some others codes are referring to pelvis in a very specific way (not identifiable on the current body schema).

|

182034009

|

ENTIRE ILIAC CREST

731694000

|

ENTIRE BONE OF PUBIS

54735007

|

BONE STRUCTURE OF SACRUM

53505006

|

ANAL STRUCTURE

76784001

|

VAGINAL STRUCTURE

18911002

|

PENILE STRUCTURE

85710004

|

BONE STRUCTURE OF ISCHIUM

302543008

|

ENTIRE HIP REGION

30547001

|

STRUCTURE OF GREATER TROCHANTER OF FEMUR

|

3. There is not the same level of precision between the snomed codes of the foot and the hand.\ It seems abnormal to me.

|

56459004

|

FOOT STRUCTURE

344001

|

ANKLE REGION STRUCTURE

360857004

|

MALLEOLAR STRUCTURE OF FIBULA

76853006

|

HEEL STRUCTURE

78883009

|

GREAT TOE STRUCTURE

55078004

|

SECOND TOE STRUCTURE

78132007

|

THIRD TOE STRUCTURE

80349001

|

FOURTH TOE STRUCTURE

39915008

|

FIFTH TOE STRUCTURE

244187005

|

SKIN STRUCTURE OVER INSTEP OF FOOT

|

|

85562004

|

HAND STRUCTURE

|

These examples, among others, lead me to consider this delivery as not final.

It seems obvious that the visual we are asked to use is incongruent with the level of details required by the provided list of codes.

So I propose to discuss about these inconsistencies and determine together what could be an acceptable solution for the first release.

[LionelCremer]

Thanks @bdc-ehealth for the following.

Just to get a good overview of the content, here is a nicely formatted description.

Here are the schemas (maybe another schema should be used, but I'm not informed): or

Here are some examples of inconsistencies in the Snomed codes (cf. ReferralPrescription_ValueSets_V3.xlsx) and the schema:

1. One of the snomed code is referring to a part of the brain and other codes are referring to specific parts of the brain cavity. (I’ve not found any template using that specifically, therefore I guess it must be available in the body location schema) Both values are not identifiable on the current body schema.

Snomed Code	Value
31640002	OCCIPITAL BONE STRUCTURE
789699009	STRUCTURE OF OCCIPITAL CONDYLE
78277001	TEMPORAL LOBE STRUCTURE

2. Some others codes are referring to pelvis in a very specific way (not identifiable on the current body schema).

Snomed Code	Value
182034009	ENTIRE ILIAC CREST
731694000	ENTIRE BONE OF PUBIS
54735007	BONE STRUCTURE OF SACRUM
53505006	ANAL STRUCTURE
76784001	VAGINAL STRUCTURE
18911002	PENILE STRUCTURE
85710004	BONE STRUCTURE OF ISCHIUM
302543008	ENTIRE HIP REGION
30547001	STRUCTURE OF GREATER TROCHANTER OF FEMUR

3. There is not the same level of precision between the snomed codes of the foot and the hand. It seems abnormal to me.

Snomed Code	Value
56459004	FOOT STRUCTURE
344001	ANKLE REGION STRUCTURE
360857004	MALLEOLAR STRUCTURE OF FIBULA
76853006	HEEL STRUCTURE
78883009	GREAT TOE STRUCTURE
55078004	SECOND TOE STRUCTURE
78132007	THIRD TOE STRUCTURE
80349001	FOURTH TOE STRUCTURE
39915008	FIFTH TOE STRUCTURE
244187005	SKIN STRUCTURE OVER INSTEP OF FOOT

Snomed Code	Value
85562004	HAND STRUCTURE

[bdc-ehealth]

WG: Katrien Dickx will take this up.

[bdc-ehealth]

WG: Emily Sevrin will create a new version of the document next week.

[bdc-ehealth]

WG: will we create a ConceptMap?