Dealing with concepts in SNOMED, when more than 2 code representations for the same concept are possible

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Status

 

Impact

High / Medium / Low

Driver

 

Approver

 

Contributors

 

Informed

 

Due date

 

Outcome

 

Rationale

Background

Have PLR123 AND SNOMED extension concept code - that works as long as we are submitting oursleves now, but for terms that have been submitted before we had the namespace extension, so then we will get a NEW SNOMED concept ID - what should we do?

 

Relevant data

A single concept could have PLR123, APHL SNOMED extension concept and if submitted to either US or international edition prior to having the APHL namespace, or if submitted by another organization we may end up with a different SNOMED CT concept ID as the replacement code.

Options considered

 

Option 1:

Option 2:

 

Option 1:

Option 2:

Description

Inactive both of the APHL codes in the extensions

Keep the APHL SNOMED extension code active

Pros and cons

is inline withthe current approach, where we assigned APHL SNOMED extension terms to inactivated concepts, when we switched over - but those are both retired

we would have duplication for those concepts

we woudl have to activate all the already replaced codes

Estimated cost

 

 

Action items

Outcome

To inactivate both PLR and APHL SNOMED extension terms, when a differnt SNOMED CT concept identifier is assigned by US or SNOMED International