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This document forms part of the SNOMED CT® Sweden 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.
2 Background
This document provides a summarized description of the content changes included in the Recall Replacement release for the November 2021 release of the SNOMED Clinical Terms® Managed Service Sweden Extension package.
It will also includes 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 Sweden Extension package is dependent upon, and should therefore be consumed in conjunction with the SNOMED CT® July 2021 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 2021 International Edition release has been translated and additional concepts and synonyms for use in Sweden have been added. The main areas for which new concepts and synonyms have been added are:
The ICNP Swedish language type reference set is adopted from and dependent on the International Classification of Nursing Practice (ICNP) Reference Set. It contains 1938 active concepts from SNOMED CT and translations of these concepts have been reviewed in collaboration with Swenurse. For more details about International Classification of Nursing Practice (ICNP) Reference Set see ICNP SNOMED CT Nursing Practice Refset Release Notes - July 2021.
- Work has been done to reduce duplicate terms and address other quality issues in the Swedish translation.
Working with the healthcare regions to develop content in the Swedish extension.
3.2 Concept statistics
New and Updated Content
New concepts:
Table 1 New concepts by hierarchy
| Total | 107 |
| Body structure (body structure) | 3 |
| Clinical finding (finding) | 21 |
| Event (event) | 1 |
| Observable entity (observable entity) | 9 |
| Procedure (procedure) | 45 |
| Qualifier value (qualifier value) | 7 |
| SNOMED CT Model Component (metadata) | 8 |
| Situation with explicit context (situation) | 2 |
| Staging and scales (staging scale) | 11 |
12 concepts from the Swedish extension were inactivated for this release, 16 concepts were changed, and 6 were promoted to the International edition.
Descriptions statistics
New synonyms added: 9 024
Inactivated descriptions: 678
Re-activated descriptions: 69
New translations: 4 338
Some concepts have not been translated into Swedish. The reasons for non-translation can vary and include concepts not relevant in a Swedish context and concepts were the name in Swedish and English is equivalent (e.g. the Latin names of organisms).
Table 2 Non-translated concepts by hierarchy
| Total | 14 659 |
| Social context (social concept) | 42 |
| Procedure (procedure) | 59 |
| Substance (substance) | 256 |
| Body structure (body structure) | 71 |
| Specimen (specimen) | 1 |
| Situation with explicit context (situation) | 9 |
| Physical object (physical object) | 3 278 |
| Event (event) | 2 |
| Environment or geographical location (environment / location) | 6 |
| Qualifier value (qualifier value) | 6 |
| Observable entity (observable entity) | 18 |
| Special concept (special concept) | 3 |
| Pharmaceutical / biologic product (product) | 652 |
| Clinical finding (finding) | 84 |
| Organism (organism) | 9 740 |
| SNOMED CT Model Component (metadata) | 437 |
Reference sets
New reference sets:
- 103491000052103 |urval särskilda vårdrutiner utifrån fattade beslut, uppmärksamhetsinformation|
- 113461000052109 |urval förekomst av implantat, uppmärksamhetsinformation|
- 113471000052100 |urval förekomst av transplantat, uppmärksamhetsinformation|
- 500221000057105 |urval vårdtjänster|
- 83461000052100 |språkurval ICNP svenska|
- 113491000052101 |språkurval vårdtjänster|
Updated reference sets:
- 500061000057107 |urval fynd mikroorganism laboratoriemedicin|
- 59821000052101 |urval medicinska tillstånd, uppmärksamhetsinformation|
- 59831000052104 |urval behandlingar, uppmärksamhetsinformation|
- 59841000052105 |urval implantat, uppmärksamhetsinformation|
- 59861000052106 |urval transplantat, uppmärksamhetsinformation|
- 59881000052100 |urval särskilda vårdrutiner, uppmärksamhetsinformation|
- 60001000052100 |urval sökorsak|
- 62201000052106 |urval dosenhet, nationella läkemedelslistan|
- 63181000052104 |urval analysmetod laboratoriemedicin|
- 64641000052102 |urval allvarlig psykisk störning|
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 - Sweden Extension November 2021, the following Known Issues were identified, and agreed to be resolved in the next editing cycle:
4.2 Technical notes
Promoted concepts
Some concepts from the Swedish extension have been promoted to the international release (900000000000207008 | SNOMED CT core module (core metadata concept) |). The concepts have been added to the international release files with an effectiveTime which supersedes the latest effectiveTime in the Swedish extension release files. The concepts will be retained in the Swedish extension snapshot files in perpetuity as per SNOMED International recommendations and anyone using these files will have to manage the possibility of duplicated ids (with different effectiveTime) across release files. The risk of issues can be mitigated by filtering to only use Swedish extension records with effectiveTime:s greater than their International counterparts. Links to relevant documentation will be added to these release notes once that documentation has been updated.
The promoted concepts in the November 2021 release are:
- 62461000052109 | Second transurethral resection of bladder (procedure) |
- 65971000052100 | Acute psychosis (disorder) |
- 69621000052107 | Flexible bronchoscopy (procedure) |
- 70711000052105 | Assessment of bone age using Tanner-Whitehouse 2 method (procedure) |
- 70721000052102 | Assessment of bone age using Tanner-Whitehouse 2 radius-ulna-short bones method (procedure) |
- 70731000052100 | Assessment of bone age using Tanner-Whitehouse 3 method (procedure) |
New Relationship Concrete Values files
Please be aware that the following new files have been added to the Sweden Extension Release package, representing the new Concrete Domains content being introduced in this editing cycle, in line with the related changes to the International Edition Release:
- sct2_RelationshipConcreteValues_Delta_SE1000052_20211130.txt
- sct2_RelationshipConcreteValues_Snapshot_SE1000052_20211130.txt
- sct2_RelationshipConcreteValues_Full_SE1000052_20211130.txt
Reference set name change from 60001000052100 |urval kontaktorsak| to new name 60001000052100 |urval sökorsak|
Please be aware of that reference set 60001000052100 |urval kontaktorsak| has changed name to 60001000052100 |urval sökorsak|. Refset ID has not changed. The name change is due to new terminology naming guidelines. Note that the corresponding reference set filenames have been changed:
- xder2_Refset_urvalSökorsakSimpleRefsetDelta_SE1000052_20211130.txt
- xder2_Refset_urvalSökorsakSimpleRefsetSnapshot_SE1000052_20211130.txt
- xder2_Refset_urvalSökorsakSimpleRefsetFull_SE1000052_20211130.txt
Approvals
Final Version | Date | Approver | Comments |
|---|---|---|---|
| 1.0 |
| Daniel Karlsson | Approved |
Download .pdf here:
Draft Amendment History
Version | Date | Editor | Comments |
|---|---|---|---|
0.1 |
| Andrew Atkinson | Initial draft created |
| 1.0 |
| Daniel Karlsson | Final changes made |