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This section of the document provides both general terming and modeling guidance for substance concepts.

Modeling

...

Parent concept	<<105590001 |Substance (substance)|

• Exceptions: none

Exceptions: none identified

Semantic tag	(substance)
Definition status

900000000000074008 |Necessary but not sufficient concept definition status (core metadata concept)

738774007 | Is Modification

Primitive
Attribute: Is

Modification

modification of

Range <105590001 |Substance (substance)| Cardinality: 0..*

Exceptions: none identified

Attribute: Has disposition	Range:

 726711005

<726711005 |Disposition (disposition)|

- descendants onlyNOTE:

While the allowed range is broader, substance concepts should only use descendants of the

concept 726711005

concept 726711005 |Disposition (disposition)

 as

as the attribute value. Cardinality: 0..*

Exceptions: none identified

Naming

...

General Naming Guidelines
Descriptions should be singular, not plural. Exception: Fumes should be expressed in the plural (i.e. fumes as opposed to fume).
Descriptions should not include additional descriptors that reference a use case. For example, Non-pharmaceutical
Some regulatory agencies may use prefixes or suffixes to distinguish between different manufacturers of a single substance but these

will

are not

be

used in SNOMED CT; the INN name

will be

is used.

Example:

For example, The FDA uses "ado-trastuzumab"; the INN for this substance is "trastuzumab".

 The

The INN

should be

is reflected as the US and GB names in SNOMED CT International

Release because

Release, because the prefix represents a specific manufacturer's product. The FDA uses "emicizumab-kxwh" and "vestronidase alfa-vjbk"; the INN for these substances are "emicizumab" and "vestronidase alfa". The INN

should be

is reflected as the US and GB names in SNOMED CT International Release, because the suffix represents a specific manufacturer's product.

Substance concepts should not include a strength.

Substance concepts should not include a dose form or use case. Exception:  Substances that do not have stain as part of their approved name but are used as stains and are subtypes of 397165007 |Stain (substance)| For example, 25351006 |Fluorescein sodium stain (substance)|

The FSN is aligned with the INN

,

; the Preferred Terms are aligned with USAN and BAN (BAN almost always aligns with the INN). The

Preferred Term

Preferred Term in the US dialect variation must be given the acceptability of Acceptable (A) in the GB dialect and vice versa.

For isomers, the INN names use the expanded prefix, e.g. levo or dextro, and so should be used for the FSN and Preferred Term.

Changes to descriptions allocated to existing substance concepts may impact

on

the terming of medicinal product concepts and so should be undertaken with caution.

Based on recommendation by the International Protein Nomenclature Guidelines: Usage of the term 'protein' in a protein name should be avoided if not necessary, especially when the name includes terms such as "factor", "enzyme", "inhibitor", or "regulator". Enzyme names commonly end with 'ase' (aminoacylase, arginase, etc.). The term ‘protein’ should not be appended to the enzyme names.

For case sensitivity assignment: Greek alphabetical terms in substance concepts have been made case insensitive. For substance terms that have a single letter

-

, either a single lower case letter or a single upper case letter

-

, the case sensitivity should reflect

this

either CS if the single capital letter or single lower case letter is at the beginning of the term, or cI if the single capital letter or single lower case letter is contained within an otherwise case insensitive term. Proper names in substance terms should begin with a capital letter. Numeric numbers in substance terms should be ignored for case significance. Simply, they

won’t

will not be displayed differently if

we switch

switched between upper and lower case. The case sensitivity decision should be based on the

rest of the

remaining letters and words in the term. When modeling terms, the word following the numbers does not begin with a capital letter, e.g. correct terming

is 

is 5-hydroxytryptamine (ci) and not 5-Hydroxytryptamine, and the substance abbreviated to '

6

5-

TG

HT' is CS not cI.