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Disease coding systems for arthrogryposis multiplex congenita
Tanya Bedard1, R Brian Lowry1,2,3,4
1Alberta Congenital Anomalies Surveillance System, Clinical Genetics, Alberta Health Services, Calgary, Alberta, Canada.
Insights
Arthrogryposis multiplex congenita (AMC) is complex, making diagnosis difficult with historical coding. A new comprehensive coding strategy using ICD-10 and other systems can improve data identification and understanding of AMC.
Area of Science:
- Medical Genetics
- Clinical Genetics
- Pediatric Medicine
Background:
- Arthrogryposis multiplex congenita (AMC) presents as a complex group of disorders with diverse genetic underpinnings.
- Current disease coding systems pose challenges in accurately documenting AMC diagnoses and associated anomalies.
- Standardized language and data identification are crucial for pediatric AMC registries and health information systems.
Purpose of the Study:
- To address the complexity of coding Arthrogryposis multiplex congenita (AMC).
- To propose a comprehensive coding strategy for AMC using established classification systems.
- To enhance the understanding and management of AMC.
Main Methods:
- Review and description of existing coding and classification systems: ICD-10, Orphanet, Online Mendelian Inheritance in Man (OMIM), and Human Phenotype Ontology (HPO).
- Development of a comprehensive coding strategy integrating these systems for AMC data.
- Application of the strategy to pediatric AMC registries and health information systems.
Main Results:
- The proposed strategy integrates multiple coding systems for a standardized approach to AMC.
- This approach facilitates accurate data identification and analysis within registries and surveillance systems.
- Improved documentation of AMC diagnoses and anomalies is achievable.
Conclusions:
- A comprehensive coding strategy is essential for managing the complexity of AMC.
- The proposed strategy using ICD-10, Orphanet, OMIM, and HPO improves data standardization.
- This approach will contribute to a better understanding and improved health outcomes for individuals with AMC.
Abstract:
Arthrogryposis multiplex congenita (AMC) encompasses many different conditions, involves many different genes and thus can be very complex. Using historical disease coding systems to document syndrome diagnoses and anomalies associated with AMC is often challenging. However, disease coding systems are necessary to provide opportunities for a standard language to be maintained and pertinent data to be identified in the pediatric AMC registry, congenital anomalies surveillance systems, and routine or administrative health information systems. The ICD-10, Orphanet, Online Mendelian Inheritance in Man, and the Human Phenotype Ontology coding and classification systems are described to establish a comprehensive coding strategy. This strategy will provide a necessary tool to contribute to a better understanding of AMC and ultimately improve the health of individuals with AMC.
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