Links:

JIRA ISSUE: https://snomed.atlassian.net/browse/IHTSDO-256

DOCUMENT REVIEW PAGE:

IHTSDO Content development – fast track (simple/single changes)

Title

Representation of angiogram, angiography and arthrography in descriptions.

Version Information

Document review

Statement of problem as requested or initially identified

1. FSNs have a mix of Arteriography, Angiogram, arteriogram, athrogram, e.g.
   
   
   

   1. 84200003 Arteriography of pulmonary arteries (procedure)

   2. 241232001 Bronchial arteriogram (procedure)

   3. 241217008 Cerebral four vessel angiogram (procedure)
       

2. A similar problem exists with regard to Arthrography
   
   
   

   1. 33148003 Arthrography (procedure); synonym: arthrogram
       

3. Synonyms have not been added in a consistent manner and are not always true synonyms but instead are "near" synonyms

1.  

   1. Angiogram, arteriogram, athrogram and other imaging concepts ending with suffix "gram" have been used extensively as synonyms on angiography, ateriography and arthrography procedure concepts. 

   2. The problem here is that – gram refers to a picture or a record while – graphy refers to the process of producing a picture or record.
      
      
      

2. Editorial guidance currently prescribes the following naming patterns:

Preferred term inconsistent abbreviation usage

Computed tomography Preferred term to be "CT" however Magnetic Resonance does not prescribe "MR".

• Magnetic resonance angiography 
  
  
  

  •  

    •  

      • FSN: Magnetic resonance angiography of X (procedure)

      • PT: Magnetic resonance angiography of X

      • Synonym: Magnetic resonance angiogram of X

      • Synonym: MR angiography of X

• Magnetic resonance venography

•  

  •  

    • FSN: Magnetic resonance venography of X (procedure)

    • PT: Magnetic resonance venography of X

    • Synonym: Magnetic resonance venogram of X

    • Synonym: MR venography of X
       

• Magnetic resonance arthrography

•  

  •  

    • FSN: Magnetic resonance arthrography of X (procedure)

    • PT: Magnetic resonance arthrography of X

    • Synonym: Magnetic resonance arthrogram of X

    • Synonym: MR arthrography of X
      
      
      

• Computed tomography angiography
  
  
  

  •  

    • FSN: Computed tomography angiography of X (procedure)

    • PT: CT angiography of X

    • Synonym: CT angiogram of X

    • Synonym: Computed tomography angiography of X
       

• Computed tomography arthrography 
  
  
  

  •  

    • FSN: Computed tomography arthrography of X (procedure)

    • PT: CT arthrography of X

    • Synonym: CT arthrogram of X

    • Synonym: Computed tomography arthrography of X
      
      
      

• Computed tomography venography 
  
  
  

  •  

    • FSN: Computed tomography venography of X (procedure)

    • PT: CT venography of X

    • Synonym: CT venogram of 

    • Synonym: Computed tomography venography of X
      
      
      

• Fluoroscopic arteriography
  
  
  

  •  

    • FSN: Fluoroscopic arteriography of X (procedure)

    • PT: Fluoroscopic arteriography of X

    • Synonym: Fluoroscopic arteriogram of X

    • Synonym: Fluoroscopic angiography of X

    • Synonym: Fluoroscopic angiogram of X
      
      
      

• Fluoroscopic venography
   

  •  

    • FSN: Fluoroscopic venography of X

    • PT: Fluoroscopic venography of X

    • Synonym: Fluoroscopic venogram of X
       

• Fluoroscopic arthrography
  
  
  

  •  

    • FSN: Fluoroscopic arthrography of X (procedure)

    • PT: Fluoroscopic arthrography of X

    • Synonym: Fluoroscopic arthrogram of X

Relevance to International edition

Decision needed as to whether we continue to add these near synonyms. Need to reassess if they are acceptable and therefore allowed to persist in the core.

Related changes impacted by this content development request

Revise concepts nested under:
77343006 | Angiography (procedure) | Synonyms: Angiogram, angiography, diagnostic angiogram and diagnostic angiography.
33148003 |Arthrography (procedure) | Synonyms: Arthrography, arthrogram,

Agreed scope statement

All concepts with descriptions including both gram and graphy attached to the same concept.

Identify additional changes
Need to review other modalities in imaging procedures to make sure any recommended changes are made throughout.

Solution proposed
Depends on outcome of EAG meeting

January 20th EAG minutes:

Consistency across procedures, JCA and MHA noted, was a problem. MHA offered a suggestion to reduce the inconsistency by using synonyms. There needed to be some clean up.

JCA asked MHA if she had enough guidance? MHA do we want to always add angiography? JCA said yes, stick to the current editorial guidance. MHA: indicating the modality in the synonym? JCA said "correct." 

The convention is to use the adjectival form i.e. Fluoroscopic arteriography, in the FSN; the noun i.e. Fluoroscopic arteriogram, is acceptable in a synonym.

The Editorial guide has been updated accordingly.

Stakeholder input
Submission to the Editorial Advisory Group, January 2017 for initial discussion.

Impact assessment
Inconsistent application of descriptions.

Risk assessment
<Identify risks of inaction as well as risks of making the change >

Approval process

Priority

☐Very high
☐High
☐Medium
☐Low

Specify the basis for the above priority assignment

Recurring question from internal authoring team about ambiguity.

Content editing
<Overall sequences of steps for editing and review>

Details of content changes
There are 105 returns in the browser for the word "angiogram" 

There are 68 returns in the browser for the word "arteriogram" 

 

Manual quality check
<How can we tell the change was successful?>

Automated quality check
<How can a query verify the change was successful?>

Publish to release branch
<Month Year>