SNOMED Condition Code update for Chlamydia and Acute Flaccid Myelitis (AFM)

In July 2021, CSTE released updated versions of reporting specifications for Chlamydia Trachomatis Infection and Acute Flaccid Myelitis (AFM).  Both conditions have SNOMED Condition Code updates.

This new release may impact your jurisdiction and may require your attention.

The following two conditions have SNOMED Condition Code updates that will be released on July 27, 2021. 

Condition NameNew SNOMED Condition Code & descriptionCurrent SNOMED Condition Code & description
Acute Flaccid Myelitis (AFM)897031002 | Acute flaccid myelitis (disorder)47000000 | Acute transverse myelitis
Chlamydia trachomatis infection240589008 | Chlamydia trachomatis infection (disorder)105629000 | Chlamydial infection (disorder)

To use the latest version of these conditions, you will have to manually retire any previous versions in published to production status before publishing the latest version.  Note: You will only need to manually retire these two conditions.  Other conditions will automatically retire when new versions are published. 

To accept the latest version of AFM or Chlamydia

For your convenience, if you have authored a previous version,  the RCKMS Administrators will import the new version of AFM and/or Chlamydia.  After the update is complete, you will need to perform the following in this exact order:

Step 1: Retire the previous version of Chlamydia Trachomatis Infection or Acute Flaccid Myelitis (AFM)

  • From the condition list, click the edit icon
  • On the Details Tab Change the status to Retire from Production
  • Click save.  You should notice the status update on the condition list

Step 2: Publish the new version of Chlamydia Trachomatis Infection or Acute Flaccid Myelitis (AFM) to Published to Production Status

Failing to retire the previous condition before accepting the latest version may result in a production error.

Potential impact on your surveillance system

When an eICR is found reportable for Chlamydia or AFM, the Chlamydia or AFM Condition Code is output in the Reportability Response as the Relevant Reportable Condition Value. If you use the Relevant Reportable Condition Value from the Reportability Response to triage/process eICRs, this update may impact your surveillance system.  We recommend checking internally for any potential impact.

Will I need to re-publish?

Yes. For your convenience, the RCKMS Administrators will import the latest version of Chlamydia or AFM (If previously published) and will copy over your external references.  However, you will need to complete the authoring steps to publish the new version to Published to Production Status

If you have any questions or need assistance with authoring, please click here to contact the RCKMS team.