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This document forms part of the SNOMED CT® Ireland Extension release distributed by International Health Terminology Standards Development Organisation, trading as SNOMED International, and is subject to the SNOMED CT® Affiliate License, details of which may be found at https://www.snomed.org/snomed-ct/get-snomed
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Page At A Glance
1 Introduction
SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care.
The International Health Terminology Standards Development organisation (IHTSDO®), trading as SNOMED International, maintains the SNOMED CT technical design, the content architecture, the SNOMED CT content (includes the concepts table, the descriptions table, the relationships table, a history table, and ICD mappings), and related technical documentation.
The SNOMED CT Irish Extension - packages these components for release every April and October, to be used with the latest SNOMED CT International Edition release.
The same content can be viewed online using the SNOMED CT browser., and eHealth Ireland website
2 Background
This document provides a summarized description of the content changes included in the October 2020 Production release of the SNOMED Clinical Terms® Managed Service Ireland Extension package.
It will also include technical notes detailing the known issues which have been identified (should any of these exist). These are content or technical issues where the root cause is understood, and the fix has been discussed and agreed, but has yet to be implemented.
This Ireland Extension package is dependent upon, and should therefore be consumed in conjunction with the SNOMED CT® July 2020 International Edition release.
2.1 Scope
This document is written for the purpose described above and is not intended to provide details of the technical specifications for SNOMED CT or encompass every change made during the release.
3 Content Development Activity
3.1 Summary
Content from the SNOMED CT® July 2020 International Edition release has been included, alongside additional components for use in Ireland.
This extension contains concepts, relationships and reference sets for healthcare professionals.
3.2 New and Updated Content
New content in this release:
This is the 5th SNOMED CT Irish Edition Production release.
New and updated content
Concept statistics
The SNOMED Irish National Release Centre published 12 new concepts, 4 new reference sets and these are available in the Irish Extension October release.
Table 1. New concepts in the Irish Edition October release
Total number of concepts | 12 |
Assessment scale | 1 |
Procedure (procedure) | 2 |
Observable entity(observable entity) | 2 |
Foundation Metadata Concept | 4 |
Qualifier Value | 3 |
Refer to Appendix 1, Table 1.1 to view the 12 new concepts.
This content was derived through the dataset specification process and includes concepts from
- National Early Warning Score
- Chronic Disease Management
- Maternal and New-born Clinical Management System
The SNOMED Irish National Release Centre promoted 82 new concepts and these will be available in the SNOMED CT January 2021 International Edition release.
Refer to Appendix 2, Table 1.2 to view
Reference sets
There are 4 new reference sets in the Irish October extension
| 821000220101 | Chronic Disease Management (Ireland) 20201021 (117 members) |
| 811000220108 | Coronavirus Reference set Ireland 20201021 (132 members) |
| 841000220107 | Gynaecology discharge summary 20201021 (17 members) |
| 831000220103 | Irish National Early Warning Score 20201021 (43 members) |
4 Technical notes
4.1 Known Issues
Known Issues are content or technical issues where the root cause is understood, and the resolution has been discussed and agreed but has yet to be implemented. This can be due to a number of reasons, from lack of capacity within the current editing cycle, to the risk of impact to the stability of SNOMED CT if the fix were to be deployed at that stage in the Product lifecycle.
For the SNOMED CT Managed Service - Ireland Extension Release, the following Known Issues were identified, and agreed to be resolved in the next editing cycle:
4.2 Resolved Issues
Resolved Issues are those where the resolution has been discussed and agreed, and has been implemented in time for this release.
For the SNOMED CT Managed Service - Ireland Extension Release, the following Issues were Resolved:
4.3 Technical notes
No additional technical notes for this release.
Appendix 1
Table 1.1
| 681000220101 | Standard alcohol drinks/week (qualifier value) | (qualifier value) |
| 761000220102 | Adult safeguarding (foundation metadata concept) | (foundation metadata concept) |
| 711000220100 | Make Every Contact Count (foundation metadata concept) | (foundation metadata concept) |
| 731000220105 | Irish National Early Warning System Urgent Response (procedure) | (procedure) |
| 781000220106 | Irish Chronic Disease Management (foundation metadata concept) | (foundation metadata concept) |
| 811000220108 | Coronavirus reference set Ireland (foundation metadata concept) | (foundation metadata concept) |
| 651000220108 | Irish National Early Warning System (procedure) | (procedure) |
| 671000220104 | Standard alcohol drinks/day (qualifier value) | (qualifier value) |
| 701000220103 | Number of standard alcohol drinks consumed on heaviest drinking day (observable entity) | (observable entity) |
| 691000220103 | Number of standard alcohol drinks consumed on typical drinking day (observable entity) | (observable entity) |
| 721000220107 | Irish National Early Warning Score (foundation metadata concept) | (foundation metadata concept) |
| 661000220105 | Standard alcohol drink (qualifier value) | (qualifier value) |
| 741000220101 | Irish National Early Warning System Score (assessment scale) | (assessment scale) |
Appendix 2
Table 1.2
| Carer behaviour is cause for safeguarding concern (situation) |
| Alleged victim of sexual assault (situation) |
| Adult safeguarding concern (finding) |
| Unborn child is cause for safeguarding concern (finding) |
| No safeguarding issues identified (finding) |
| Frequent attender of accident and emergency department (finding) |
| Domestic abuse victim in household (finding) |
| Black Irish |
| Product containing only arsenic trioxide in parenteral dose form |
| Product containing idelalisib in oral dose form |
| Product containing precisely ipilimumab 5 milligram/1 milliliter conventional release solution for infusion |
| Product containing precisely ceritinib 150 milligram/1 each conventional release oral tablet |
| Product containing precisely bortezomib 3.5 milligram/1 vial powder for conventional release solution for injection |
| Product containing precisely fluorescein sodium 20 milligram/1 millilitre conventional release eye drop solution (clinical drug) |
| Product containing precisely cyanocobalamin 500 mcg/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely bilastine 2.5 mg/1 ml conventional release oral solution (clinical drug) |
| Product containing precisely bilastine 10 mg/1 each conventional release orodispersible tablet (clinical drug) |
| Product containing precisely oxybuprocaine hydrochloride 0.4 mg/1 ml conventional release eye drop solution (clinical drug) |
| Product containing precisely prednisolone (as prednisolone metasulphobenzoate sodium) 20 mg/1 actuation conventional release rectal foam (clinical drug) |
| Product containing precisely potassium chloride 375 milligram /5 millilitre conventional release oral solution (clinical drug) |
| Product containing precisely perindopril arginine 5 mg/1 each conventional release oral tablet (clinical drug) |
| Product containing trastuzumab emtansine |
| Product containing precisely calcium polystyrene sulfonate 99.934% powder for oral or rectal suspension (clinical drug) |
| Product containing precisely metoprolol tartrate 1 mg/1 ml conventional release solution for injection (clinical drug) |
| Product containing precisely mepolizumab 100 mg/1 each powder for conventional release solution for injection (clinical drug) |
| Product containing precisely paracetamol 500 mg/1 each tablet for conventional release oral solution (clinical drug) |
| Product containing precisely aprepitant 40 mg/1 each conventional release oral capsule (clinical drug) |
| Product containing precisely wool alcohols 2 milligram/1 gram conventional release eye ointment (clinical drug) |
| Product containing precisely propamidine isetionate 1 milligram/1 milliliter conventional release eye drop solution (clinical drug) |
| Product containing precisely calcium undecylenate 10% conventional release cutaneous powder (clinical drug) |
| Product containing precisely ferrous sulfate 325 mg/1 each prolonged-release oral tablet (clinical drug) |
| Product containing precisely miconazole 20 milligram /1 g conventional release oral gel (clinical drug) |
| Product containing precisely soya oil 100 gram /1 litre conventional release emulsion for infusion (clinical drug) |
| Product containing precisely soya oil 200 gram /1 litre conventional release emulsion for infusion (clinical drug) |
| Product containing precisely clotrimazole 500 milligram/1 each conventional release pessary (clinical drug) |
| Product containing precisely desmopressin acetate 100 microgram/1 millilitre conventional release nasal drops, solution (clinical drug) |
| Product containing precisely clotrimazole 200 milligram/1 each conventional release pessary (clinical drug) |
| Product containing precisely atropine sulfate 200 mcg/1 ml conventional release solution for injection (clinical drug) |
| Product containing precisely epinephrine 500 mcg/1 ml conventional release solution for injection (clinical drug) |
| Product containing precisely misoprostol 400 microgram/1 each conventional release oral tablet |
| Product containing precisely acetylcysteine 600 mg/1 each conventional release effervescent oral tablet (clinical drug) |
| Product containing precisely nicotinic acid 500 mg/1 each capsule (clinical drug) |
| Product containing precisely levocarnitine 300mg/ml conventional release oral solution (clinical drug) |
| Product containing precisely benzyl benzoate 25% conventional release cutaneous emulsion (clinical drug) |
| Product containing precisely betamethasone (as betamethasone valerate) 1 mg/1 ml conventional release cutaneous solution (clinical drug) |
| Product containing precisely tocilizumab 20 milligram/1 milliliter conventional release solution for injection |
| Product containing precisely tetracaine hydrochloride 5 milligram/1 milliliter conventional release eye drop solution (clinical drug) |
| Product containing precisely mifepristone 600 milligram/1 each conventional release oral tablet |
| Product containing precisely tetracaine hydrochloride 10 milligram/1 milliliter conventional release eye drop solution (clinical drug) |
| Product containing precisely azilsartan medoxomil (as azilsartan medoxomil potassium) 20 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely bilastine 20 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely cabozantinib (as cabozantinib s-malate) 20 milligram/1 each conventional release oral tablet |
| Product containing precisely bazedoxifene (as bazedoxifene acetate) 20 milligram /1 each conventional release oral tablet (clinical drug) |
| Product containing precisely avatrombopag (as avatrombopag maleate) 20 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely cabozantinib (as cabozantinib s-malate) 40 milligram/1 each conventional release oral tablet |
| Product containing precisely calcium acetate 500 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely hydroxocobalamin (as hydroxocobalamin chloride) 1000 microgram/1 millilitre conventional release solution for injection (clinical drug) |
| Product containing precisely cabozantinib (as cabozantinib s-malate) 60 milligram/1 each conventional release oral tablet |
| Product containing precisely dihydrocodeine tartrate 2.42milligram/1 millilitre conventional release oral solution (clinical drug) |
| Product containing precisely dihydrocodeine tartrate 10 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely prednisolone acetate 1.2 milligram/1 millilitre each conventional release eye drops, suspension (clinical drug) |
| Product containing precisely pilocarpine nitrate 20 milligram/1 millilitre conventional release eye drops, solution (clinical drug) |
| Product containing precisely calcium carbonate 90 grams/ 100 grams conventional release cutaneous powder (clinical drug) |
| Product containing precisely baricitinib 4 milligram /1 each conventional release oral tablet (clinical drug) |
| Product containing precisely baricitinib 2 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely binimetinib 15 mg/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely brigatinib 90 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely brigatinib 180 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely brigatinib 30 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely brivaracetam 100 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely brivaracetam 10 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely brivaracetam 50 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely brivaracetam 25 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely brivaracetam 75 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely capecitabine 300 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely cinnarizine 25 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely bisacodyl 2 milligram/ 1 millilitre conventional release rectal suspension (clinical drug) |
| Product containing precisely phenazone 50 milligram/1 millilitreeach conventional release solution for ear drops (clinical drug) |
| Product containing precisely agomelatine 25 milligram/1 each conventional release oral tablet (clinical drug) |
| Product containing precisely afatinib (as afatinib dimaleate) 50 milligram/1 each conventional release oral tablet (clinical drug) |
| Gynecology discharge summary |
| Newborn discharge summary |
Approvals
Final Version | Date | Approver | Comments |
|---|---|---|---|
| 0.1 | Terance Shird | Approved | |
| 1.0 |
| Theresa Barry | Approved |
Download .pdf here:
Draft Amendment History
Version | Date | Editor | Comments |
|---|---|---|---|
0.1 |
| Andrew Atkinson | Initial draft created |
| 1.0 | 12/10/2020 | Theresa Barry | Final draft |