Summary
In Semantic Annotations → ValueSets (Known Codes) → VS Gleason Pattern, the SNOMED CT code listed for Gleason Pattern 5 is invalid.
| Listed in spec |
Status |
Correct code |
369774004 — "Gleason Pattern 5 (finding)" |
❌ does not exist in SNOMED CT International Edition |
369774002 — "Gleason Pattern 5" |
Details
Validated against SNOMED CT International Edition version 20250701 via a FHIR terminology server (Ontoserver, CodeSystem/$lookup):
$lookup on 369774004 → not-found ("The code 369774004 … was not found"), reproduced consistently.- The correct concept for Gleason Pattern 5 is
369774002 | Gleason Pattern 5.
- The other four members of the value set are correct: P1
369770006, P2 369771005, P3 369772003, P4 369773008.
Most likely a transposed final digit (…004 vs …002).
Impact
Any ValueSet/$expand or $validate-code against the VS Gleason Pattern member for pattern 5 fails, and instances coding Gleason Pattern 5 with 369774004 will not validate against the value set.
Suggested fix
Replace 369774004 with 369774002 in the VS Gleason Pattern value set (and any generated ValueSet/CodeSystem artifacts).
Found while building a validated SNOMED data dictionary for a Synthea-based synthetic prostate-cancer cohort (HL7-EU CCDM / SYNDERAI / Phoenix context), cross-checking the spec's semantic annotations against the MII terminology server.
Summary
In Semantic Annotations → ValueSets (Known Codes) → VS Gleason Pattern, the SNOMED CT code listed for Gleason Pattern 5 is invalid.
369774004— "Gleason Pattern 5 (finding)"369774002— "Gleason Pattern 5"Details
Validated against SNOMED CT International Edition version 20250701 via a FHIR terminology server (Ontoserver,
CodeSystem/$lookup):$lookupon369774004→not-found("The code 369774004 … was not found"), reproduced consistently.369774002| Gleason Pattern 5.369770006, P2369771005, P3369772003, P4369773008.Most likely a transposed final digit (
…004vs…002).Impact
Any
ValueSet/$expandor$validate-codeagainst the VS Gleason Pattern member for pattern 5 fails, and instances coding Gleason Pattern 5 with369774004will not validate against the value set.Suggested fix
Replace
369774004with369774002in the VS Gleason Pattern value set (and any generated ValueSet/CodeSystem artifacts).Found while building a validated SNOMED data dictionary for a Synthea-based synthetic prostate-cancer cohort (HL7-EU CCDM / SYNDERAI / Phoenix context), cross-checking the spec's semantic annotations against the MII terminology server.