Losing information when matching ICD10 codes with SNOMED (e.g. the procedure laterality)

This surfaces a bigger issue actually: standard procedure concepts are not well curated. We can’t say we ‘harmonised’ the vocabularies if there are two standard concepts with equal meaning. In my view, the example here is actually a very good one, only the capitalisation is different:

In ETL the choice will be quite arbitrary and at analysis we always have to include both (although practically the higher level SNOMED will be used with all descendants, solving the issue). Same goes for the measurement domain by the way (between LOINC and SNOMED).

Do we want to fix this, and if yes, what is required to fix this?