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SNOMED CT content may sometimes need to be moved from one module to another, to enable it to be published in a different edition. Moving SNOMED CT content up the module dependency chain (i.e. from a given module to a module on which it depends) is known as content promotion. This may be required to make the content accessable accessible to a wider audience. Moving SNOMED CT content down the module dependency chain (i.e. from a given module to a module that is dependent on it) is known as content demotion. This may be required to make the content accessable accessible to a narrower audience. In these situations, it is essential to be aware of the principles for promotion and demotion. These principles ensure the integrity and traceability of the content, in both the original module and the module to which it is moved.
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Once promoted, a new version of the component is available in the International Edition with a new EffectiveTime, an international moduleId, and the same SNOMED CT identifier as was used in the originating extension. From that point forward, SNOMED International becomes responsible for maintaining the promoted content. Future releases of the extension content alone, which are dependent on the new version of the International Edition (that contains the promoted content), must remove will no longer include the promoted content from in their Snapshot and Delta release files.
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Please note that if the extension is published as part of an Edition, in which the files include content from both the extension and International Edition, then the Snapshot and Delta release files will contain the promoted content as part of the international module. |
The promoted content will, however, continue to appear in the Full release files of the extension Edition with an older EffectiveTime to reflect the ownership history of this content within the extension. Please note that the SNOMED CT identifiers of all promoted content will remain unchanged, and will therefore continue to include the namespace identifier of the originating organization.
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The diagram below illustrates how extension content is promoted to the SNOMED CT International Edition.
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Promoting content to the International Edition |
Content Demotion
In some circumstances it may be necessary to demote SNOMED CT components. Demotion means moving a component from a given module to a module that is dependent on it. For example, moving a concept (and its associated descriptions and stated relationships) from the International Edition to a National Extension.
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If content demotion is deemed necessary, then it is very important to use a safe approach. As shown in the diagram below, the recommended approach for demoting SNOMED CT content is to inactivate the component in the source module and activate the component in the destination module at a more recent effective time.
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Demoting content from the International Edition to extension |
Updates should also be made to the respective component inactivation reference sets to indicate that the component has been inactivated because
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The following diagram shows the RF2 file changes that are required to demote an example concept from the international edition to an extension module. Please note that it is essential that the effectiveTime of the active component in the destination module is more recent than the effectiveTime of the inactive component in the source module. This is done to ensure that the demoted component is seen as active in any edition that uses the extension module to which it was demoted.
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File changes required to demote a concept |
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Some approaches to content demotion that have previously been proposed are considered to be unsafe. The content demotion approaches that should never be used include:
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