Akram - How did you decide which SNOMED codes were correct?

> Interestingly, cTAKES identified these instances of "Chemotherapy" using
codes 363688001 and 367336001.

The UMLS CUI C3665472, with TUI T061 (Therapeutic or Preventive Procedure),
includes the SNOMED codes:

   - Chemotherapy (367336001)
   - Administration of antineoplastic agent (363688001)

> However, the specific SNOMED codes that accurately represent the
diagnosis of "Chemotherapy"

What's your reason for treating "Chemotherapy" as a diagnosis, rather than
a procedure?

> This particular report has been diagnosed with ICD10 code Z51.11.

The ICD10CM code Z51.11 code description says "Encounter for antineoplastic
chemotherapy".
Like many ICD10CM Z-codes, it's a diagnostic label indicating a procedure
was (to be) performed.

> ...are 373832009, 373833004, 373835006, and 373836007.

Your four SNOMED codes are all closely related, and semantically loaded:
they mean more than just the concept of chemotherapy.
The last three are children of the first, and to me they look mutually
exclusive.

   - 373832009: Reason for change in planned chemotherapy treatment (UMLS
   CUI: C1298666)
      - 373833004: Chemotherapy changed - progressive disease during
      chemotherapy (UMLS CUI: C1298667)
      - 373835006: Chemotherapy changed due to technical or organizational
      problems (UMLS CUI: C1300033)
      - 373836007: Chemotherapy changed - patient choice (UMLS CUI:
      C1298669)

> Any resources I can use to help me with other similar questions?

UMLS Metathesaurus Browser: https://uts.nlm.nih.gov/uts/umls/home
Signup is free.
_____________________________________________________
*Kean Kaufmann*
NLP Architect

RecordsOne
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On Fri, Nov 17, 2023 at 7:40 PM Akram <as...@yahoo.com.invalid> wrote:

> Hi AllI wonder if someone can help me answer these questions:
> I am a PhD student, my research involves utilizing cTAKES. I'm using the
> desktop version, cTAKES 4.0.0.1 , for my research. I built a dictionary
> using the most recent SNOMED codes 2023 sourced from UMLS. My research
> involves using the MIMIC VI database, within which resides report
> #5419. This particular report has been diagnosed with ICD10 code Z51.11.
> Upon manual inspection of the report, I observed the occurrence of the
> term "Chemotherapy" appearing 13 times. Interestingly, cTAKES identified
> these instances of "Chemotherapy" using codes 363688001 and
> 367336001. However, the specific SNOMED codes that accurately represent the
> diagnosis of "Chemotherapy" are 373832009, 373833004, 373835006, and
> 373836007.
> This discrepancy prompts the question: Why did cTAKES opt for codes
> 363688001 and 367336001 instead of employing 373832009, 373833004,
> 373835006, and 373836007 to represent the concept of "Chemotherapy"? Any
> resources I can use to help me with other similar questions?
> Thanks
>

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