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Whenever a new description is added to SNOMED CTin an extension, the language preferences associated with that description must also be specified. Naturally this applies to extension specific descriptions which have been added to establish a preferred term within a country or region. When used in a national or local edition, this specification can override the language preferences established in the International Edition. The technical specifications are defined by adding the associated This is done by adding rows to a language reference set to indicate a description is acceptable or preferred in a particular whether each description is 

Concept
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t900000000000549004 |acceptable|
or 
Concept
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t900000000000548007 |preferred|
in the given language or dialect.

Attributes

As previously mentioned, all reference sets use six common attributes. In addition to these, a 

Concept
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t900000000000506000 |Language
reference sets use one additional attribute which is acceptabilityId. A description of how these attributes are applied to language sets is provided in below
type reference set|
also includes an acceptabilityId. The table below explains how each of these attributes is populated in a
Concept
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t900000000000506000 |Language type reference set|
.


AttributeData
typeComment(s)The first four attributes of the language refset are used in the same way across all reference sets.
TypeUse in a Language Reference Set
idUUID

Can be generated using a

generic

standard

Gloss
tUUID
generator.

effectiveTimeTimeSpecifies the
specific
date on which this version of the
refset
reference set member was released.
activeBoolean

Indicates

if the specific version of the refset

whether or not the reference set member is active

or not. The value is most often true for the first version of a refset member. The only exception would be if an incorrect dependency released earlier was corrected.

at the given effectiveTime. This value is set to "1" for new reference set members.

moduleIdSCTIDIdentifies the module
that
to which this
refset
reference set member belongs
to. This will
. For members in an extension, this will always be a module
within
created by the extension producer.
The next three attributes have specific implications when used in a language refset.
refsetIdSCTID
The refsetId points to the previously generated reference set identification concept which specifies the relevant language or dialect. This may be an existing language refset in

This refers to the concept id of a descendant of

Concept
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t900000000000506000 |Language type reference set|
and represents the language or dialect for which the preferences are defined. The reference set concept may be created in the extension, or may belong to a module on which the extension

module depends, or a language refset created in the extension module

depends (e.g. the international core module).

referencedComponentIdSCTID
The referencedComponentId attribute is set

The referencedComponentId refers to

indicate the description specified by this refset row. This links the refset row to the description which is specified by the language refset row

the id of the description whose acceptability is being defined.

acceptabilityIdSCTID

The acceptabilityId

attribute

indicates whether the

acceptability of the

description referenced

in referencedComponentId for a specified language, dialect or use case. The attribute value must be a descendant to the concept
Concept
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t900000000000511003 |Acceptability|
 such as 1475003 |herpès labial|.

by the referencedComponentId is

Concept
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t900000000000549004 |Acceptable|

 or 

or

Concept
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t900000000000548007 |Preferred|

.
Info
iconfalse

Note that a prerequisite to specifying the language preferences for a given description is the establishment of the language reference set itself.

Practically speaking, a language refset set has been established once

  • The reference set concept has been created (along with it's associated components and derivatives)
  • Individual members of the refset have been defined in refset rows
  • A language refset file has been generated (in RF2 format) and published

for the given language or dialect.



Info
iconfalse

Note some extension producers may need to establish separate create and populate more than one language reference setsset. For example, one for language translations and another for the addition of where different languages or dialects are used within a country, or where both clinician and patient friendly terms must be specified.

Example

 below shows In  below, two rows from the

Concept
t20581000087109 |Canada French language reference set|
, 20170430 are shown. Note that these rows are associated with language specific descriptions specify French Canadian language preferences for the concept
Concept
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t1475003 |Herpes labialis|
.

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Key points as followsPlease note the following:

  • The id column shows a UUID that has been uniquely generated for each refset member.
  • The moduleId indicates that these refset members are included in belong to the
    Concept
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    t20611000087101 |Canada Health Infoway French module|
    .
  • The refsetId column indicates that both members are part of the
    Concept
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    t20581000087109 |Canada French language reference set|
    Note that if this reference set must have been created prior to adding these reference set rows.
  • The referencedComponentId column indicates the descriptions that these rows are specifying
    • These link back to descriptions of type fully specified name and synonym
    indicates the description for which the acceptability is being specified.
  • The acceptabilityId Lastly the acceptabilityId column indicates that both of these descriptions are
    Concept
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    t900000000000548007 |Preferred|
     in this languageThe Canadian French extension, 20170430 establishes a preferred fully specified name and synonym for the concept
    Concept
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    t1475003 |Herpes labialis|
  • Concept
    ShowPartsterm
    t1475003 |herpès labial (trouble)|
Concept
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t