Terrific, Pablo. Didn’t want to run the risk of you missing the cervical 
cytology codes that are present.

A post coordinated solution is a good work around, but wonder if it is worth 
requesting SNOMED for the addition of new codes for the ones that you’ve 
identified as missing. If you need them, then there is a very good chance that 
others might as well.

And if there is a better solution then SNOMED Intl might be able to point us to 
them.

Regards

Heather


From: openEHR-technical <openehr-technical-boun...@lists.openehr.org> On Behalf 
Of Pablo Pazos
Sent: Monday, 17 September 2018 12:31 PM
To: For openEHR technical discussions <openehr-technical@lists.openehr.org>
Subject: Re: Inconclusive lab results coding

Thanks Heather, I got those codes in the cervical cytology findings, found the 
"normal" and the "abnormal" concepts, but not a code for the grey area in the 
middle of those, that, from my research, seems to be a valid outcome from a PAP 
test with something like "Not clear (not conclusive)".

On Tue, Sep 11, 2018 at 2:57 AM Heather Leslie 
<heather.les...@atomicainformatics.com<mailto:heather.les...@atomicainformatics.com>>
 wrote:
Hi Pablo,

There is a hierarchy specifically for cervical cytology findings – see Cervical 
smear result (finding)
SCTID: 269957009 and below.

So for CEASI o ASCUS the code from that hierarchy would likely be 441087007

I haven’t had time to look at all, but I suspect this is a better hierarchy and 
there may not be all options available for you. There are lots of gaps in 
SNOMED!

Hope this helps
Heather

From: openEHR-technical 
<openehr-technical-boun...@lists.openehr.org<mailto:openehr-technical-boun...@lists.openehr.org>>
 On Behalf Of Pablo Pazos
Sent: Tuesday, 11 September 2018 2:26 PM
To: For openEHR technical discussions 
<openehr-technical@lists.openehr.org<mailto:openehr-technical@lists.openehr.org>>
Subject: Inconclusive lab results coding

Hi all, lately I've been modeling different types of lab results.

Now I'm modeling cervical cytology, and there is a kind of result that is 
"inconclusive or not clear", for other results I've found SNOMED CT codes but 
not for this one. That is the only one that I can't code right now, maybe 
others with more experience on this area can help me find a code.

This is what I have right now, sorry rubrics are in spanish (but is easy to 
just put the codes in the SNOMED browser to see the concept in english 
http://browser.ihtsdotools.org/?perspective=full&conceptId1=404684003&edition=en-edition&release=v20180731&server=http://browser.ihtsdotools.org/api/v1/snomed&langRefset=900000000000509007):

+ Normal (negativo): SNOMED-CT::5559008
+ Poco claro (no concluyente)
+ Anormal (positivo)
  + CEASI o ASCUS (células escamosas atípicas de signigicado indeterminado): 
SNOMED-CT::39035006
  + CGA (células grandulares atípicas): SNOMED-CT::4476003
  + LIEBG (lesiones intraepiteliales escamosas de grado bajo): 
SNOMED-CT::112662005
  + LIEAG (lesiones intraepiteliales escamosas de grado alto): 
SNOMED-CT::22725004
  + CEA (células escamosas atípicas, no se pueden excluir las LIEAG): 
SNOMED-CT::373878001
  + AIS (adenocarcinoma in situ): SNOMED-CT::51642000
  + Células de cáncer cervical (carcinoma de células escamosas o 
adenocarcinoma): SNOMED-CT::285432005


Thanks!

--
Ing. Pablo Pazos Gutiérrez
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--
Ing. Pablo Pazos Gutiérrez
pablo.pa...@cabolabs.com<mailto:pablo.pa...@cabolabs.com>
+598 99 043 145
skype: cabolabs
Subscribe to our newsletter<http://eepurl.com/b_w_tj>

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http://www.cabolabs.com<http://www.cabolabs.com/>
https://cloudehrserver.com<https://cloudehrserver.com/>


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