Situation with Explicit Context Naming Conventions

This Editorial Guide is used for Education Purposes Only. It is used in the Authoring Courses and Certifications. It is based on the January 2026 Editorial Guide.

For information on precoordinated naming patterns that have been reviewed or are currently in review, see Pre-coordination Naming Patterns project. Unreviewed patterns for the Situation with explicit context hierarchy can be found here. New content should conform with the naming patterns; however, legacy content may not.

• For example,

  • Acceptable naming pattern

    • FSN: declined (situation)

    • PT: declined

    • SYN: refused (This is optional).

      • 736013005 |Body weight measurement declined (situation)|

The following naming patterns are no longer accepted for addition to the International Edition:

• Procedure offered

• Procedure not offered

• Procedure done

• Procedure not done

Note that 385658003 |Done (qualifier value)| (a descendent of 410523001 |Post-starting action status (qualifier value)|) remains in use as the target value of the 408730004 |Procedure context (attribute)| in History of <procedure> concepts.

Not every naming pattern is found in the Pre-coordination Naming Pattern project. Some naming patterns can be prescribed in Templates. Others can come from trackers or fast track documents, such as the examples below.

716186003 |No known allergy (situation)|

• FSN: No known allergy (situation)

• PT: No known allergy

• SYN: NKA - No known allergy

428197003 |No known insect allergy (situation)|

• FSN: No known insect allergy (situation)

• PT: No known insect allergy

History of finding or disorder occurring in past pregnancy

For concepts relating to a history of a finding, disorder, procedure, or event occurring in a past pregnancy of the subject of the record, use an FSN and PT of |Past pregnancy history of X (situation)|. These concepts are subtypes of 271903000 |History of pregnancy (situation)|.

• For example,

  • 161804005 |Past pregnancy history of antepartum hemorrhage (situation)| is a subtype of 271903000 |History of pregnancy (situation)|

For content relating to family history, this must be specified in both the FSN and preferred term to distinguish between past pregnancy of the subject of the medical record.

• For example,

  • |Past pregnancy history of neonatal death (situation)| versus |Family history of neonatal death (situation)|

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