2019-05-08 - SLPG Meeting

Require slotnames to be unique

• Why? To avoid having 2 ways to do the same thing, and to clarify the meaning through value restrictions.

• Template
  
  

  • [[ +id ]]:
    { 116676008 |Associated morphology| = [[ +id @morphology ]],
    363698007 |finding site| = [[ +id @findingSite ]] },
            { 116676008 |Associated morphology| = [[ +id ($morphology) ]],
    363698007 |finding site| = [[ +id (* MINUS << $findingSite) ]] }

• Valid Expression (Definition of 16027391000119109 |Bone cyst of bilateral tibias (disorder)|)

  • 64572001 |Disease| :
                { 116676008 |Associated morphology| = 66954000 |Bone cyst|,
                  363698007 |Finding site| = 719491009 |Bone structure of right tibia| }
                { 116676008 |Associated morphology| = 66954000 |Bone cyst|,
                  363698007 |Finding site| = 719492002 |Bone structure of left tibia| }
    
    
    

Introduce a sameValue constraint (similar to the allOrNone constraint)

• Template
  
  

  •  [[+id]]: [[1..* @group sameValue ($morphology)]]
    { |Finding site| = [[ +id ]] ,
    |Associated morphology| = [[ +id @morphology ]]}

• Valid Expression (Definition of 31580001000004106 |Bilateral sacral insufficiency fracture (disorder)| )

  • • 702561005 |Insufficiency fracture (disorder)|:
                 { 363698007 |Finding site (attribute)| = 736830008 |Bone structure of left half of sacrum (body structure)|,
                    116676008 |Associated morphology (attribute)| = 22640007 |Pathologic fracture (morphologic abnormality)| }
                  { 363698007 |Finding site (attribute)| = 736831007 |Bone structure of right half of sacrum (body structure)|,
                    116676008 |Associated morphology (attribute)| = 22640007 |Pathologic fracture (morphologic abnormality)| }

Constrain values across 2 or more replacement slots

• 2 replacement slots must have the same value, different values, subsumed values, or not subsumed values.

• Example A - A clinical finding, with 2 role groups with the same morphology, and finding sites that not subsume each other

  • Template

    • [[ +id ]]:
      { 116676008 |Associated morphology| = [[ +id @morphology ]],
      363698007 |finding site| = [[ +id (<< |Body structure| MINUS << $findingSite2 ) @findingSite1 ]] },
              { 116676008 |Associated morphology| = [[ +id @morphology ]],
      363698007 |finding site| = [[ +id (* MINUS << $findingSite1) @findingSite2 ]] }

  • Valid Expression (Definition of 16027391000119109 |Bone cyst of bilateral tibias (disorder)|)

    • 64572001 |Disease| :
                  { 116676008 |Associated morphology| = 66954000 |Bone cyst|,
                    363698007 |Finding site| = 719491009 |Bone structure of right tibia| }
                  { 116676008 |Associated morphology| = 66954000 |Bone cyst|,
                    363698007 |Finding site| = 719492002 |Bone structure of left tibia| }
      
      

• Example B - A clinical finding, with one or more role groups in which the morphology is always the same, and no 2 finding sites subsume each other.

  • Template - 3 role groups with 3 sites: site[1], site[2], site [3] /// site [1,2]
    
    

    •  [[+id]]:
      [[1..* @group1]] { |Finding site| = [[ +id (* MINUS << $site[!= SELF ] ) @site ]] ,
      |Associated morphology| = [[ +id ($morphology [!= SELF] ) @morphology ]]}

  • Valid Expression (Definition of 31580001000004106 |Bilateral sacral insufficiency fracture (disorder)| )

    • • 702561005 |Insufficiency fracture (disorder)|:
                   { 363698007 |Finding site (attribute)| = 736830008 |Bone structure of left half of sacrum (body structure)|,
                      116676008 |Associated morphology (attribute)| = 22640007 |Pathologic fracture (morphologic abnormality)| }
                    { 363698007 |Finding site (attribute)| = 736831007 |Bone structure of right half of sacrum (body structure)|,
                      116676008 |Associated morphology (attribute)| = 22640007 |Pathologic fracture (morphologic abnormality)| }

Default value for replacement slot

• Default value for authoring and template-driven modelling transformations

• Example A - Default finding site of 72673000 |Bone structure|
  
  

  • Template
    
    

    • [[ + id ]] :
      { |Finding site| = [[ +id (<< 72673000|Bone structure|) @site default (72673000 |Bone structure (body structure)|) ]]

Definition status of a replacement slot

• Specifying whether the value used in a replacement slot must be primitive or defined

• Example A - When proximal primitive modelling, the focus concept must be a primitive concept
  
  

  • Template - Requires use of more expressive query language with filters

    • [[ + id (<< 64572001 |Disease| {{ c.definitionStatus = primitive }}) ]]

  • Valid Expression
    
    

    • 195967001 |Asthma (disorder)|

Definition status of a templated expression

• Specifying the definition status of a templated expression

• Template
  
  

  • [[ +tok ("===" "<<<") ]][[ +id ]] : { |Finding site| = [[+id]] }

  • Valid Expression
    
    

    • === 128272009 |Disorder of lower respiratory system| : 363698007 |Finding site| = 39607008 |Lung structure|

    • <<< 128272009 |Disorder of lower respiratory system| : 363698007 |Finding site| = 39607008 |Lung structure|
      
      

Attributes used in repeating role groups

• Constraining the set of attributes that appear in a repeating role group

• Example 1 - In a given matching expression, either all the role groups include the attribute |site|, or none of the role groups include the attribute |site|. Similarly, either all role groups include |Occurrence|, or none of the role groups do.
  
  

  • Template - using allOrNone

    • [[+id]]: [[1..* @group1 allOrNone ($site), allOrNone($occurrence)]]
      { [[1..1]] |Associated morphology| = [[ +id @morphology ]],
      [[0..1 @site]] |Finding site| = [[ +id ]],
      [[0..1 @occurrence]] |Occurrence| = [[ +id ]] }

    • Valid Expression - Injury of head, neck and chest
      
      

      • [[ |Disease| ]]: 
        { |Associated morphology| = |Injury|, |Finding site| = |Head structure| } 
        { |Associated morphology| = |Injury|,  |Finding site| = |Neck structure| }
        { |Associated morphology| = |Injury|,  |Finding site| = |Chest structure| }

    • Valid Expression - Congenital malformation of head and neck 

      • [[ |Disease| ]]: 
        { |Associated morphology| = |malformation|, |Finding site| = |Head structure|, |Occurrence| = |Congenital| } 
        { |Associated morphology| = |malformation|,  |Finding site| = |Neck structure|, |Occurrence| = |Congenital| }

• Example 2 - Some of the optional attributes must either always or never appear in each instance of a repeating role group

  • • [[+id]]: [[1..* allOrNone($morph) ]]
      { [[ 1..1 ]] |Method| = [[+id]],
      [[ 0..1 @morph ]] |Direct morphology| = [[+id ]],
      [[ 0..1 ]] |Procedure site - Direct| = [[+id]],
      [[ 0..1]] |Using device| = [[+id]] ,
      [[ 0..1]] |Has intent| = [[+id]] }
      
      

    • Valid Expression - Closure of skin by suture
      
      

      • |Procedure|: 
        { |Method| = |Closure - action|, |Procedure site - Direct| = |Skin structure| , |Using device| = |Surgical suture, device|} 

    • Valid Expression - Core needle biopsy of skin using ultasonographic guidance
      
      

      • |Procedure|: 
        { |Method| = |Ultrasound imaging - action|, |Procedure site - Direct| = |Skin structure| , |Has intent| = |Guidance intent|} 
        { |Method| = |Biopsy - action|, |Procedure site - Direct| = |Skin structure| , |Using device| = |Core biopsy needle, device|} 

    • Valid Expression - Toilet and suture of wound
      
      

      • |Procedure|: 
        { |Method| = |Surgical toilet - action|, |Direct morphology| = |Wound| } 
        { |Method| = |Closure - action|,  |Direct morphology| = |Wound|,
        |Procedure site - Direct| = |Skin structure|, |Using device| = |Surgical suture, device| }

  • Example 3 - Some of the optional attributes must either always or never appear in each instance of an inner-nested, repeating role group

    • • |Finding with explicit context|: [[1..2]]
        { [[ 1..1 ]] |Finding context| = [[+id]],
        [[ 1..1 ]] |Temporal context| = [[+id ]],
        [[ 1..1 ]] |Subject relationship context| = [[+id]],
        [[ 1..1]] |Associated finding| = ( [[+id]] : [[1..* allOrNone($site) allOrNone($Occurrence) ]]
        { [[1..1]] |Associated morphology| = [[ +id @morphology ]],
        [[0..1 @site]] |Finding site| = [[ +id ]],
        [[0..1 @occurrence]] |Occurrence| = [[ +id ]] } ) }
        
        

      • Valid Expression - History of Injury of head, neck and chest, and of congenital malformation of head and neck
        
        

        • |Finding with explicit context|:
          { |Finding context| = |Done|,
          |Temporal context| = |In the past|
          |Associated finding| = ( |Disease| : 
          { |Associated morphology| = |Injury|, |Finding site| = |Head structure| } 
          { |Associated morphology| = |Injury|,  |Finding site| = |Neck structure| }
          { |Associated morphology| = |Injury|,  |Finding site| = |Chest structure| } ) }
          { |Finding context| = |Done|,
          |Temporal context| = |In the past|,
          |Associated finding| = ( |Disease| :
          { |Associated morphology| = |malformation|, |Finding site| = |Head structure|, |Occurrence| = |Gongenital| } 
          { |Associated morphology| = |malformation|,  |Finding site| = |Neck structure|, |Occurrence| = |Gongenital| } ) }

  • Example 4 - Some of the optional attributes must either always or never appear in each instance of an outer-nested, repeating role group

    • • |Finding with explicit context|: [[1..2 allOrNone ($site), allOrNone($occurrence), allOrNone($relationship) ]]
        { [[ 1..1 ]] |Finding context| = [[+id]],
        [[ 1..1 ]] |Temporal context| = [[+id ]],
        [[ 0..1 @relationship]] |Subject relationship context| = [[+id ]],
        [[ 1..1]] |Associated finding| = ( [[+id]] : [[1..* ]]
        { [[1..1]] |Associated morphology| = [[ +id ]],
        [[0..1 @site]] |Finding site| = [[ +id ]],
        [[0..1 @occurrence]] |Occurrence| = [[ +id ]] }
        
        

      • Valid Expression - History of Injury of head, neck and chest, and of malformation of head and neck
        
        

        • |Finding with explicit context|:
          { |Finding context| = |Done|,
          |Temporal context| = |In the past|,
          |Subject relationship context| = |Subject of record|,
          |Associated finding| = ( |Disease| : 
          { |Associated morphology| = |Injury|, |Finding site| = |Head structure| } 
          { |Associated morphology| = |Injury|,  |Finding site| = |Neck structure| }
          { |Associated morphology| = |Injury|,  |Finding site| = |Chest structure| } ) }
          { |Finding context| = |Done|,
          |Temporal context| = |In the past|,
          |Subject relationship context| = |Subject of record|,
          |Associated finding| = ( |Disease| :
          { |Associated morphology| = |malformation|, |Finding site| = |Head structure| } 
          { |Associated morphology| = |malformation|,  |Finding site| = |Neck structure| }