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The  |Code to expression type reference set| is designed to enable associations between codes in another code system  (other-codes) and  SNOMED CT concepts, where the following constraints apply:

  1. Some of the  other-codes cannot be mapped to an individual SNOMED CT  concept.
  2. Licensing conditions (or other considerations) prevent addition of new SNOMED CT concepts to represent the same meaning as the  other-codes.
  3. The  other-codes can be logically defined using the  SNOMED concept model to represent the same meaning  (sufficiently defined) or a similar though less specific meaning  (primitive).
  4. Other requirements similar for those applicable to mapping may also apply including:
    1. An indication of the degree of correlation between the   other-code and the SNOMED CT expression.
    2. An indication of whether the  other-code was created before any single concept representation of that meaning in SNOMED CT or whether the single concept representation in SNOMED CT predated the creation of the association.

Data Structure

The general approach to the above requirements is to associate each of the  other-codes with a representation of the same logic based definition as would have been applied to a SNOMED CT concept with that meaning. However, since the   other-code are not identified by an   SCTID, the logical definition cannot be represented using   defining relationships. There are two potential approaches to this, one would be to use a general purpose description logic language (e.g.   OWL) and the other is to use a  SNOMED CT expression to represent each definition. The  |Code to expression type reference set| is designed to support the expression-based approach.

Table 5.2.15-1: Code to expression type reference set - Data Structure


Data type


Part of Primary Key


A 128 bit unsigned Integer, uniquely identifying this reference set member.

Different versions of a reference set member share the same id but have different effectiveTime. This allows a reference set member to be modified or made inactive (i.e. removed from the active set) at a specified time.

NOYES (Full /Snapshot)

The inclusive date or time at which this version of the identified reference set member became the current version.

Note: In distribution files the effectiveTime should follow the short ISO date format (YYYYMMDD) and should not include the hours, minutes, seconds or timezone indicator.

The current version of this reference set member at time T is the version with the most recent effectiveTime prior to or equal to time T .


YES (Full)

Optional (Snapshot) 

The state of the identified reference set member as at the specified effectiveTime .

If active = 1 (true) the reference set member is part of the current version of the set, if active = 0 (false) the reference set member is not part of the current version of the set.


Identifies the SNOMED CT module that contains this reference set member as at the specified effectiveTime .

The value must be a subtype of 900000000000443000 |Module (core metadata concept)|within the metadata hierarchy.


Identifies the reference set to which this reference set member belongs.

In this case, a subtype descendant of: |Code to expression type reference set|


A reference to the SNOMED CT component to be included in the reference set.

A subtype of 705113004 |Terminology system| identifying the code system from which the code in the mapTarget field is derived.



The other-code to/from which the concept is mapped.


SNOMED CT expression that represents the SNOMED CT definition of the  other-code. This expression may be a  stated or  inferred view of the definition provided that documentation of each identified reference set specifies the view provided.

The expression must conform to the syntax defined in the SNOMED CT Compositional Grammar - Specification and Guide (


Indicates whether or not the expression contains a sufficient definition of the other-code in the mapTarget field.
Possible values are the following subtypes of 900000000000444006 |Definition status|:


The correlation between the SNOMED CT expression and the other-code. Possible values are the following subtypes of 447247004 |SNOMED CT source code to target map code correlation value|:

When these values are applied to this reference set type, the phrase "SNOMED source code" is interpreted as meaning "SNOMED expression" and "target code" refers to the other-code..


Indication of whether the concept was initially in one of the terminologies (SNOMED CT or other-codes) and added to the other as part of mapping or was in both terminologies at the outset. Values are subtypes of   705116007 |Original code system source for linked content value|.



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