Update on the removal of “neurasthenie” from SNOMED CT Netherlands Edition

Post #348 Shortlink: https://wp.me/pKrrB-4N6

As reported in Post # 345, the SNOMED CT Concept SCTID: 192439005 Neurasthenia (disorder) and its associated SCTID Concept terms were retired (Inactivated) from SNOMED CT’s International Edition and from national editions some years ago.

However, the Netherlands Edition retained the term neurasthenie under the SCTID: 52702003 chronischevermoeidheidssyndroom (CVS) Synonyms list. The neurasthenie term was exclusive to the Netherlands Edition, was assigned to the SCTID: 52702003 CVS code, and designated as an “Acceptable” Synonym term for CVS in the Netherlands Dutch language reference set.


Screenshot: SNOMED CT Netherlands Edition release for September 30, 2018:


Screenshot: SNOMED CT Netherlands Edition release for September 30, 2018:

Details tab:


Request for removal of the neurasthenie term:

In October 2018, a Netherlands advocate approached Pim Volkert (Terminology Co-ordinator, Nictiz, and lead for the Netherlands SNOMED CT National Release Centre) with a request and rationale for consideration of removal of the neurasthenie term, for consistency with SNOMED CT International Edition and with the WHO’s ICD-10, which specifically excludes G93.3 from F48.0 Neurasthenia.

This request and accompanying rationale was considered and promptly accepted for implementation in the March 31, 2019 release of the Netherlands Edition.

This approved content change has now been incorporated into the March 2019 release:


Screenshot: SNOMED CT Netherlands Edition as it now stands:



A note about retired SCTID Concept terms and retired Synonyms in SNOMED CT International Edition and national editions:

The technical term for the retirement of a SNOMED CT SCTID Concept or Synonym term is “Inactivation”. In order to display Inactive concepts, go to:


Accept the License Agreement, if displayed.

Select the specific edition required (eg the International Edition or one of the National Editions).

Look under Options on the left of the Search box.


“Status: Active and inactive concepts” from the Options dropdown.

Enter a search term into the Search box.

In the Matches list, Inactive concepts will display on a light pink ground.

Click on a term to display the historical Concept Details panel associated with that specific term (which will also display on a pink ground in the box under Parents in the Concept Details panel).

So although retired or “Inactive” terms can still be searched for within the SNOMED CT terminology browser, they are identified as Inactive by their pink ground.


Flyer: DSM-5 Core titles from American Psychiatric Publishing

Flyer: DSM-5 Core titles from American Psychiatric Publishing

Post #211 Shortlink: http://wp.me/pKrrB-2×5

The third stakeholder review and comment period on proposals for revisions to categories and criteria for the next edition of the Diagnostic and Statistical Manual of Mental Disorders, to be known as DSM-5, was launched on May 4.

Following closure of this final public review, revisions made by the DSM-5 Work Groups to criteria and disorder descriptions subsequent to June 15 are subject to embargo.

Final criteria sets and accompanying texts won’t be released until the DSM-5 is published, next year.

The release of DSM-5 is slated for May 18-22, 2013, during the APA’s 2013 Annual Meeting in San Francisco, CA.

A couple of days ago, the third draft was removed in its entirety from the DSM-5 Development website.

In advance of release of DSM-5, the publishing arm of the American Psychiatric Association has issued a promotional flyer for its DSM-5 CORE TITLES:

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)

American Psychiatric Association

Desk Reference to the Diagnostic Criteria from DSM-5

American Psychiatric Association

DSM-5 Clinical Cases

John W. Barnhill, M.D., David J. Kupfer, M.D., and Darrel A. Regier, M.D., M.P.H.

DSM-5 Guidebook

Donald W. Black, M.D., and Jon E. Grant, M.D., M.P.H., J.D.

Study Guide to DSM-5

Laura Weiss Roberts, M.D., M.A.

DSM-5 Handbook of Differential Diagnosis

Michael B. First, M.D.

DSM-5 Self-Exam Questions

Test Questions for the Diagnostic Criteria

Philip R. Muskin, M.D.

Note that the flyer states:

• New disorders include, but are not limited to, somatic symptom disorder, hoarding disorder, mild and major neurocognitive disorder, anxiety illness disorder, and premenstrual dysphoric disorder…

According to DSM-5 draft three, the proposed name for the disorder that replaces “Hypochondriasis” in DSM-IV is intended to be “J01 Illness Anxiety Disorder” not “anxiety illness disorder,” as the flyer has it. It is to be hoped that proofs of the manual will be subject to closer scrutiny than this flyer evidently underwent.

The flyer can be opened here 

   DSM-5 flyer

or download here http://dsm5.org/SiteCollectionDocuments/AH1259%20DSM-5%20flyer.pdf


Related material

Further DSM-5 spin-jobs:

Psychiatric News | November 16, 2012

Volume 47 Number 22 page 1b-10

Professional News

Results of DSM Field Trials Available on AJP in Advance

Mark Moran

The field trials provide new data for the ongoing review of proposed diagnostic criteria for DSM-5

Three papers discussing the results of the DSM-5 field trials were posted October 30 by AJP in Advance. These papers describe the methods and results of the 23 diagnoses that were assessed…

and from Task Force Chair, David J. Kupfer…

Huffington Post Blog

David J. Kupfer, MD | Chair, DSM-5 Task Force | November 7, 2012

Field Trial Results Guide DSM Recommendations

Written with Helena C. Kraemer, Ph.D.

Two years ago this month, APA announced the start of field trials that would subject proposed diagnostic criteria for the future DSM-5 to rigorous, empirically sound evaluation across diverse clinical settings. And now, as the first comprehensive analyses of that effort are published, what’s clear is just how well the field trials did their job…

For comment see:

1 Boring Old Man


1 Boring Old Man | November 9, 2012

Side Effects

From quirky to serious, trends in psychology and psychiatry

by Christopher Lane, Ph.D.

The DSM-5 Field Trials’ Decidedly Mixed Results

Far from being a ringing endorsement, the field trials set off fresh alarm bells

Christopher Lane, Ph.D. | November 11, 2012

“What’s the chance that a second, equally expert diagnosis will agree with the first, making a particular diagnosis reliable?” asks David Kupfer, chair of the DSM-5 task force, of the decidedly mixed results of the DSM-5 field trials. First off, are you sure you really want to know?…

You Can’t Turn a Sow’s Ear Into a Silk Purse

By Allen Frances, MD | November 11, 2012

also here on Psychiatric Times (registration required):


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