Physical examination vs Mental examination

Physical examination vs Mental examination



Hi All, 

We've recently received a helpdesk query from the NRC in Sweden. They identified that there are descendants of 5880005 |Physical examination procedure (procedure)| but which contain the word "mental". This seems to go against the definition of that concept "An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)". 
We discussed this issue at our internal SNOMED editors call and feel that there is probably a need to create a new high level concept for Mental examination (or similar) and have the concepts moved to sit beneath that. However, we also discussed how the lines between a physical examination, which may include recording basic psychiatric findings and a full mental examination aren't clear.
We're keen to know for the below concepts if you think they warrant being a descendant of Physical examination, Mental examination or both. 
It may also be the case that some of the concepts are outdated and can be inactivated or are specific to individual regions, again we would appreciate your input on this.

Thanks,

Mark Banks



Concept

Preferred Term

Id

Concept

Preferred Term

Id

Neurological mental status determination (procedure)

Neurological mental status determination

392257007

Mental Health Act examination (procedure)

Mental Health Act examination

171423009

Medico-legal mental status determination (procedure)

Medico-legal mental status determination

42813001

Examination for suspected mental disorder (procedure)

Examination for suspected mental disorder

171398007

Assessment of mental status by psychiatrist (procedure)

Assessment of mental status by psychiatrist

392258002

Evaluation for signs and symptoms of mental/emotional health problems (procedure)

Evaluation for signs and symptoms of mental/emotional health problems

410325007

Initial psychiatric interview with mental status and evaluation (procedure)

Initial psychiatric interview with mental status and evaluation

79094001

History and physical examination, follow-up for emotional or mental disease (procedure)

History and physical examination, follow-up for emotional or mental disease

14129001

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